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Individual

MS. LOUISE ANN BAUSCHARD X

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
254 N 1ST AVE, # 105, HILLSBORO, OR 97124-3003
(503) 997-8041
(503) 846-0709
Mailing address
254 N 1ST AVE, # 105, HILLSBORO, OR 97124-3003
(503) 997-8041
(503) 846-0709

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
L2155SR
OR

Other

Enumeration date
09/20/2014
Last updated
09/20/2014
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