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1053067207
JESSICA LYNN FOX
TIGARD, OR
NPI
1053067207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L7397)
Enumeration Date
2022-02-25
Last Update Date
2022-02-25
Business Address
JESSICA LYNN FOX LCSW
11315 SW 105TH PL
TIGARD, OR 97223-4198
Phone number: 503-502-2393
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Mailing Address
JESSICA LYNN FOX LCSW
11315 SW 105TH PL
TIGARD, OR 97223-4198
Phone number: 503-502-2393
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