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1912250044
KARMEN LEANN GOUDGE
GRESHAM, OR
NPI
1912250044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-10-26
Last Update Date
2012-10-26
Business Address
KARMEN LEANN GOUDGE
4101 NE DIVISION ST SUITE 100
GRESHAM, OR 97030
Phone number: 503-666-3808
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Mailing Address
KARMEN LEANN GOUDGE
C-O 4101 NE DIVISION ST SUITE 100
GRESHAM, OR 97030
Phone number: 503-666-3808
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