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1902932445
MARY THERESA STITES
PORTLAND, OR
NPI
1902932445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T0472)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
-- MARY THERESA STITES LMFT
1500 NE IRVING ST SUITE 250
PORTLAND, OR 97232-2243
Phone number: 503-233-4356
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Mailing Address
-- MARY THERESA STITES LMFT
19779 WILDWOOD DR
WEST LINN, OR 97068-2228
Phone number: 503-522-3069
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