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1043796493
ALICIA AILEEN PHELPS
PORTLAND, OR
NPI
1043796493
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Former Name
ALICIA AILEEN YOUNG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11634)
Enumeration Date
2018-07-18
Last Update Date
2024-06-19
Business Address
ALICIA AILEEN PHELPS LCSW
15870 NW BAUMAN ST APT 304
PORTLAND, OR 97229-1521
Phone number: 510-672-2147
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Mailing Address
ALICIA AILEEN PHELPS LCSW
15870 NW BAUMAN ST APT 304
PORTLAND, OR 97229-1521
Phone number: 510-672-2147
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