HALLIE HAVICAN

PORTLAND, OR
NPI1124459771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  ASW-68709)
Enumeration Date2013-12-09
Last Update Date2019-08-04
Business Address
Miss HALLIE HAVICAN LCSW
1110 SE ALDER ST # 310
PORTLAND, OR 97214-2400
Phone number: 503-847-9950
Mailing Address
Miss HALLIE HAVICAN LCSW
PO BOX 86953
PORTLAND, OR 97286-0953
Phone number: 503-847-9950
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