Provider Information for 1659579761
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LAURA KAHL PLACEK MS LPC CADCIII CMHC
Other Names:Professional Name:LAURA KAHL-PLACEK Laura PlacekSex: Female
NPI: 1659579761
Last Updated: 2021-03-11
Certification Date: 2021-03-11
Certification Date: 2021-03-11
Details
| Name | Value | ||||||||
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| NPI | 1659579761 | ||||||||
| Enumeration Date | 2007-07-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 38569 CASCADIA VILLAGE DR SANDY, OR 97055-5389 United States Phone: 608-214-0862 | Fax:503-203-8095 | ||||||||
| Primary Practice Address | 38569 CASCADIA VILLAGE DR SANDY, OR 97055-5389 United States Phone: 608-214-0862 | Fax:503-203-8095 | ||||||||
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