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1003482654
KATRINA ANN CLARK
PORTLAND, OR
NPI
1003482654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A5091)
Enumeration Date
2021-06-02
Last Update Date
2021-06-02
Business Address
Mrs. KATRINA ANN CLARK CSWA
1715 E BURNSIDE ST STE 201
PORTLAND, OR 97214-1531
Phone number: 808-343-2163
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Mailing Address
Mrs. KATRINA ANN CLARK CSWA
2177 SE UMATILLA ST
PORTLAND, OR 97202-7414
Phone number: 808-343-2163
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