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1992005193
CAROL LYNN ROBERTS
GRESHAM, OR
NPI
1992005193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-10-22
Last Update Date
2013-04-04
Business Address
MS. CAROL LYNN ROBERTS MA, LPC
400 NE 7TH ST
GRESHAM, OR 97030-5604
Phone number: 503-661-5455
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Mailing Address
MS. CAROL LYNN ROBERTS MA, LPC
820 NW 21ST AVE STE B
PORTLAND, OR 97209
Phone number: 503-740-7547
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