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1174633929
JOHNNY CORRACE WALKER
CLACKAMAS, OR
NPI
1174633929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 001581)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Mr. JOHNNY CORRACE WALKER M.S.S.W.
10163 SE SUNNYSIDE RD STE 490
CLACKAMAS, OR 97015-5720
Phone number: 503-653-3451
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Mailing Address
Mr. JOHNNY CORRACE WALKER M.S.S.W.
PO BOX 1612
CLACKAMAS, OR 97015-1612
Phone number: 503-762-1866
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