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1023442613
SUSAN RAE JACOBSON
PORTLAND, OR
NPI
1023442613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-08-30
Last Update Date
2013-08-30
Business Address
Ms. SUSAN RAE JACOBSON
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
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Mailing Address
Ms. SUSAN RAE JACOBSON
739 SE 130TH AVE
PORTLAND, OR 97233-1611
Phone number: 503-724-7724
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