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1972065860
SHIVAUNNE COLLETTE DAVIS
PORTLAND, OR
NPI
1972065860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
SHIVAUNNE COLLETTE DAVIS
9320 SW BARBUR BLVD STE 200
PORTLAND, OR 97219-5499
Phone number: 503-222-9661
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Mailing Address
SHIVAUNNE COLLETTE DAVIS
9320 SW BARBUR BLVD STE 200
PORTLAND, OR 97219-5499
Phone number: 503-222-9661
Copy
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