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1164824090
SHAWNA NICOLE ROSE
PORTLAND, OR
NPI
1164824090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-09-23
Last Update Date
2023-02-28
Business Address
SHAWNA NICOLE ROSE LCSW
1832 NE BROADWAY ST
PORTLAND, OR 97232-1992
Phone number: 503-754-4502
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Mailing Address
SHAWNA NICOLE ROSE LCSW
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number:
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