ANNALIESE DIANNA ELLSWORTH

CANBY, OR
NPI1164838116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L7267)
Enumeration Date2014-07-09
Last Update Date2018-05-24
Business Address
ANNALIESE DIANNA ELLSWORTH LCSW, MSW
550 NW 3RD AVE STE BANDC
CANBY, OR 97013
Phone number: 503-342-2510
Mailing Address
ANNALIESE DIANNA ELLSWORTH LCSW, MSW
7100 SW HAMPTON ST STE 128&129
TIGARD, OR 97223-8315
Phone number: 503-342-2510
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