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1861136228
LAFAYE ELIZABETH GROOMS
PORTLAND, OR
NPI
1861136228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-04-22
Last Update Date
2023-11-06
Business Address
LAFAYE ELIZABETH GROOMS
8041 E BURNSIDE ST
PORTLAND, OR 97215-1548
Phone number: 503-252-3304
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Mailing Address
LAFAYE ELIZABETH GROOMS
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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