Individual
TEANA ANN MARIE KROLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 NE 11TH AVE, PORTLAND, OR 97232-3001
(503) 542-7635
Mailing address
2373 NE 106TH AVE APT 1114, HILLSBORO, OR 97124-8245
(952) 999-1712
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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