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1902466899
JENNIFER LYNNE LABROUSSE
TIGARD, OR
NPI
1902466899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R5772)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
JENNIFER LYNNE LABROUSSE LPC Intern
12725 SW 66TH AVE STE 103
TIGARD, OR 97223-2547
Phone number: 503-825-0234
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Mailing Address
JENNIFER LYNNE LABROUSSE LPC Intern
10871 SW CANTERBURY LN STE 204
TIGARD, OR 97224-3857
Phone number: 503-930-6134
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