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1013546217
JEFF LYNN LIDDELL
PORTLAND, OR
NPI
1013546217
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Professional Name
JEFF LYNN LIDDELL
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2942)
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
JEFF LYNN LIDDELL LCSW
1803 N SIMPSON ST
PORTLAND, OR 97217-4658
Phone number: 503-310-7591
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Mailing Address
JEFF LYNN LIDDELL LCSW
1803 N SIMPSON ST
PORTLAND, OR 97217-4658
Phone number: 503-310-7591
Copy
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