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Organization

LIMINAL SPACE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIELAH LEIGHTON LCSW (OWNER)
(503) 208-5553
Entity
Organization

Contact information

Practice address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-6106
(503) 208-5553
Mailing address
3439 SE HAWTHORNE BLVD # 980, PORTLAND, OR 97214-5048
(503) 208-5553

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/02/2024
Last updated
12/13/2024
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