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1023368495
PHYLLIS BRADLEY MAYNARD
PORTLAND, OR
NPI
1023368495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L419)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
-- PHYLLIS BRADLEY MAYNARD MSW, LCSW
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
-- PHYLLIS BRADLEY MAYNARD MSW, LCSW
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
Copy
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