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1023231982
MARY E. IANNUCCILLO
PORTLAND, OR
NPI
1023231982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 0759)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Ms. MARY E. IANNUCCILLO MSW
2250 NW FLANDERS ST SUITE 103
PORTLAND, OR 97210-3443
Phone number: 503-796-9242
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Mailing Address
Ms. MARY E. IANNUCCILLO MSW
2250 NW FLANDERS ST SUITE 103
PORTLAND, OR 97210-3443
Phone number: 503-796-9242
Copy
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