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1164654596
JESSICA GRACE JOHNSON
PORTLAND, OR
NPI
1164654596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L5763)
Enumeration Date
2009-08-18
Last Update Date
2015-12-17
Business Address
Mrs. JESSICA GRACE JOHNSON LCSW
3181 SW SAM JACKSON PARK RD UHS-8L
PORTLAND, OR 97239-3011
Phone number: 503-494-4382
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Mailing Address
Mrs. JESSICA GRACE JOHNSON LCSW
3181 SW SAM JACKSON PARK RD UHS-8L
PORTLAND, OR 97239-3011
Phone number: 503-494-4382
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