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1023410495
THERESA WILLETT
PORTLAND, OR
NPI
1023410495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3145)
Enumeration Date
2014-09-17
Last Update Date
2014-09-17
Business Address
-- THERESA WILLETT LCSW
200 SE 7TH AVE
PORTLAND, OR 97214-1200
Phone number: 503-235-0131
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Mailing Address
-- THERESA WILLETT LCSW
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-235-8655
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