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1174031678
DOMINIQUE DALLMAYR
PORTLAND, OR
NPI
1174031678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2851)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
DOMINIQUE DALLMAYR LCSW
5404 N MONTANA AVE
PORTLAND, OR 97217-4557
Phone number: 503-327-5740
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Mailing Address
DOMINIQUE DALLMAYR LCSW
10033 NE SKIDMORE ST
PORTLAND, OR 97220-3569
Phone number: 503-327-5740
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