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1124152467
SALLY GARDNER
PORTLAND, OR
NPI
1124152467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2258)
Enumeration Date
2007-03-16
Last Update Date
2007-07-09
Business Address
-- SALLY GARDNER MSW, LCSW
1725 SE TENINO ST
PORTLAND, OR 97202-6751
Phone number: 502-233-3042
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Mailing Address
-- SALLY GARDNER MSW, LCSW
1725 SE TENINO ST
PORTLAND, OR 97202-6751
Phone number: 502-233-3042
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