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1962729764
THERESA CARMODY
BEAVERTON, OR
NPI
1962729764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T0688)
Enumeration Date
2010-05-03
Last Update Date
2011-04-04
Business Address
MS. THERESA CARMODY LMFT
12555 SW 1ST ST
BEAVERTON, OR 97005-0546
Phone number: 503-382-7843
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Mailing Address
MS. THERESA CARMODY LMFT
4206 SW ALFRED ST
PORTLAND, OR 97219-6925
Phone number: 503-382-7843
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