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1154566222
NANCY J BENNER
TIGARD, OR
NPI
1154566222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L4333)
Enumeration Date
2008-12-03
Last Update Date
2008-12-03
Business Address
Ms. NANCY J BENNER LCSW
9860 SW HALL BLVD SUITE D
TIGARD, OR 97223-8896
Phone number: 503-516-3368
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Mailing Address
Ms. NANCY J BENNER LCSW
PO BOX 80956
PORTLAND, OR 97280-1956
Phone number: 503-516-3368
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