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1023460946
STEPHANIE NICKSON
WOODBURN, OR
NPI
1023460946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OR 4527)
Enumeration Date
2016-07-02
Last Update Date
2019-08-28
Business Address
STEPHANIE NICKSON MSW, LCSW
1475 MOUNT HOOD AVE
WOODBURN, OR 97071-9066
Phone number: 971-983-5214
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Mailing Address
STEPHANIE NICKSON MSW, LCSW
PO BOX 3417
PORTLAND, OR 97208-3417
Phone number:
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