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1063012649
KATHLEEN RUSSELL
PORTLAND, OR
NPI
1063012649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A5050)
Enumeration Date
2020-10-31
Last Update Date
2020-10-31
Business Address
KATHLEEN RUSSELL CSWA
7700 SW GARDEN HOME RD APT 23
PORTLAND, OR 97223-7496
Phone number: 503-572-9340
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Mailing Address
KATHLEEN RUSSELL CSWA
4931 SW 76TH AVE # 128
PORTLAND, OR 97225-1805
Phone number: 503-572-9340
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