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1982895413
DEVORA MOON HOLLAND
PORTLAND, OR
NPI
1982895413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3989 No 051674)
Enumeration Date
2007-08-08
Last Update Date
2010-09-30
Business Address
-- DEVORA MOON HOLLAND LCSW
5404 N MONTANA AVE
PORTLAND, OR 97217-4557
Phone number: 503-310-8178
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Mailing Address
-- DEVORA MOON HOLLAND LCSW
5404 N MONTANA AVE
PORTLAND, OR 97217-4557
Phone number: 503-310-8178
Copy
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