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1194542514
JACQUINETTA SUZETTE LEON
PORTLAND, OR
NPI
1194542514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-24-4426)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
JACQUINETTA SUZETTE LEON CRM, CADC-R
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-927-0649
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Mailing Address
JACQUINETTA SUZETTE LEON CRM, CADC-R
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-927-0649
Copy
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