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1033228705
DIANA MARIE ROGERS
PORTLAND, OR
NPI
1033228705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 18597)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Miss DIANA MARIE ROGERS LCSW
3710 SW US VETERANS HOSPITAL RD VANCOUVER DIVISION - V3SATP
PORTLAND, OR 97239-2964
Phone number: 360-696-4061
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Mailing Address
Miss DIANA MARIE ROGERS LCSW
9804 NW 11TH CT
VANCOUVER, WA 98665-6451
Phone number: 360-574-5537
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