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1114648136
TARASA ROLAND
REDMOND, WA
NPI
1114648136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A12797)
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
TARASA ROLAND CSWA
7902 168TH AVE NE STE 101
REDMOND, WA 98052-4445
Phone number: 425-996-8592
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Mailing Address
TARASA ROLAND CSWA
1313 E BURNSIDE ST APT 112
PORTLAND, OR 97214-1243
Phone number: 612-718-3663
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