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1164719324
JULIANNA BRIDGET LUCISANO
PORTLAND, OR
NPI
1164719324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6007)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2011-07-07
Last Update Date
2016-07-11
Business Address
-- JULIANNA BRIDGET LUCISANO LCSW, CADC I
9555 SW BARNES RD SUITE 100
PORTLAND, OR 97225-6663
Phone number: 503-292-3577
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Mailing Address
-- JULIANNA BRIDGET LUCISANO LCSW, CADC I
7650 SW BEVELAND RD SUITE 200
PORTLAND, OR 97223-8692
Phone number: 503-292-3577
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