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1124279310
LISA H. WALCOTT
PORTLAND, OR
NPI
1124279310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L4357)
Enumeration Date
2008-10-06
Last Update Date
2009-12-07
Business Address
-- LISA H. WALCOTT MSW, LCSW
0424 SW PENDLETON ST
PORTLAND, OR 97239-3755
Phone number: 503-245-5241
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Mailing Address
-- LISA H. WALCOTT MSW, LCSW
0424 SW PENDLETON ST
PORTLAND, OR 97239-3755
Phone number: 503-245-5241
Copy
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COLLECTIVE INSIGHT THERAPY SERVICES, LLC