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1073091781
JESSICA EDIT VILLASENOR
BEAVERTON, OR
NPI
1073091781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-08-03
Last Update Date
2024-01-19
Business Address
JESSICA EDIT VILLASENOR LCSW
4537 SW 96TH AVE
BEAVERTON, OR 97005-3329
Phone number: 503-376-9520
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Mailing Address
JESSICA EDIT VILLASENOR LCSW
4537 SW 96TH AVE
BEAVERTON, OR 97005-3329
Phone number: 503-376-9520
Copy
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