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Individual

MARIA EUGENIA SERRICCHIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFTI-ATR

Contact information

Practice address
205 SE 3RD AVE, HILLSBORO, OR 97123-4093
(503) 693-3104
Mailing address
1312 SW WASHINGTON ST, HILLSBORO, OR 97123
(503) 693-3104
(310) 829-8455

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10
BEHAVIOR HEALTH AND SOCIAL SERVICE PROVIDERS
CA
Enumeration date
06/09/2009
Last updated
10/11/2012
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