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1124691845
VERONICA ROSE CLARK
PORTLAND, OR
NPI
1124691845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
MS. VERONICA ROSE CLARK CADC 1
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 503-761-6006
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Mailing Address
MS. VERONICA ROSE CLARK CADC 1
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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