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Individual

MRS. MARY THERESE EAGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.P.C.

Contact information

Practice address
10700 SW BEAVERTON HILLSDALE HWY, SUITE 525, BEAVERTON, OR 97005-3019
(503) 359-9789
(503) 359-0929
Mailing address
3239 CIRCLE CREST DRIVE, FOREST GROVE, OR 97116
(503) 359-9789
(503) 359-0929

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1841
OR

Other

Enumeration date
11/13/2008
Last updated
11/13/2008
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