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1952850505
LARA CHRISTINE CANNON
TIGARD, OR
NPI
1952850505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C5220)
Enumeration Date
2016-09-23
Last Update Date
2019-06-11
Business Address
Mrs. LARA CHRISTINE CANNON MA, LPC
9370 SW GREENBURG RD STE 413
TIGARD, OR 97223-5427
Phone number: 971-302-7374
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Mailing Address
Mrs. LARA CHRISTINE CANNON MA, LPC
3920 SW SHATTUCK RD
PORTLAND, OR 97221-3075
Phone number: 503-477-7895
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