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1114039765
THOMAS WILLIAM ROSS
CLACKAMAS, OR
NPI
1114039765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 001207)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
THOMAS WILLIAM ROSS LCSW
10163 SE SUNNYSIDE RD STE 490
CLACKAMAS, OR 97015-5743
Phone number: 503-513-4414
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Mailing Address
THOMAS WILLIAM ROSS LCSW
10163 SE SUNNYSIDE RD STE 490
CLACKAMAS, OR 97015-5743
Phone number: 503-513-4414
Copy
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