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1124539879
CLEMENT NISBET WILSON FONSECA
PORTLAND, OR
NPI
1124539879
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Former Name
CLEMENTINE M WILSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11642)
Enumeration Date
2017-10-21
Last Update Date
2025-09-02
Business Address
CLEMENT NISBET WILSON FONSECA LCSW
3125B NE HOLLADAY ST
PORTLAND, OR 97232-2504
Phone number: 503-217-4457
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Mailing Address
CLEMENT NISBET WILSON FONSECA LCSW
PO BOX 11764
PORTLAND, OR 97211-0764
Phone number: 857-498-0287
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