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1952123515
MIMI BARREE BRUCE
PORTLAND, OR
NPI
1952123515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-4294)
Enumeration Date
2024-10-25
Last Update Date
2024-10-25
Business Address
MIMI BARREE BRUCE CADC R
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 971-248-8899
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Mailing Address
MIMI BARREE BRUCE CADC R
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number:
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