LOUIS CARL WACKERLE

PORTLAND, OR
NPI1174842512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  0186)
Enumeration Date2010-05-25
Last Update Date2010-05-25
Business Address
Mr. LOUIS CARL WACKERLE MSSW
4805 NE GLISAN 3M16
PORTLAND, OR 97225
Phone number: 503-295-1804
Mailing Address
Mr. LOUIS CARL WACKERLE MSSW
BOX 408 7327 SW BARNES RD
PORTLAND, OR 97225
Phone number: 503-295-1804
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