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1104115849
SUSAN ANN PONTON
PORTLAND, OR
NPI
1104115849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L8443)
Enumeration Date
2011-04-04
Last Update Date
2019-10-29
Business Address
SUSAN ANN PONTON LCSW
10130 NE SKIDMORE ST
PORTLAND, OR 97220-3570
Phone number: 503-257-3787
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Mailing Address
SUSAN ANN PONTON LCSW
1014 MAIN STREET
VANCOUVER, WA 98660
Phone number: 360-695-1014
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