Individual
MS. STEPHANIE M DEBENEDICTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 N 29TH AVE, CORNELIUS, OR 97113-8517
(503) 597-3900
Mailing address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(503) 597-3982
(971) 226-4296
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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