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1174854467
DEIDRE NICOLE DAVIS
PORTLAND, OR
NPI
1174854467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2010-01-26
Last Update Date
2021-12-22
Business Address
DEIDRE NICOLE DAVIS MSW
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number: 503-331-6131
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Mailing Address
DEIDRE NICOLE DAVIS MSW
3600 N INTERSTATE AVE
PORTLAND, OR 97227-1106
Phone number:
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