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1972176766
AUTUMN MORAN SIMMONS
PORTLAND, OR
NPI
1972176766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 22-QMHA-R-2421)
Enumeration Date
2021-07-20
Last Update Date
2023-05-19
Business Address
AUTUMN MORAN SIMMONS
2318 NE MLK JR BLVD
PORTLAND, OR 97212-3715
Phone number: 503-335-8611
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Mailing Address
AUTUMN MORAN SIMMONS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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