SUNYA GRANTHAM

LAKE OSWEGO, OR
NPI1871113415
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R5983)
Enumeration Date2020-04-23
Last Update Date2020-04-23
Business Address
SUNYA GRANTHAM LFMT-Intern
14511 WESTLAKE DR
LAKE OSWEGO, OR 97035-7783
Phone number: 503-638-1603
Mailing Address
SUNYA GRANTHAM LFMT-Intern
22185 SW STAFFORD RD
TUALATIN, OR 97062-8727
Phone number: 503-638-1603
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