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1174099881
SHELBY MASSINGALE
TIGARD, OR
NPI
1174099881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L13961)
Enumeration Date
2018-10-19
Last Update Date
2023-03-21
Business Address
SHELBY MASSINGALE LCSW
7150 SW DARTMOUTH ST
TIGARD, OR 97223-7614
Phone number: 503-968-3421
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Mailing Address
SHELBY MASSINGALE LCSW
7150 SW DARTMOUTH ST
TIGARD, OR 97223-7614
Phone number: 503-968-3421
Copy
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