SUZAN DIANE KINGMA

CLACKAMAS, OR
NPI1194968172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OR  L3709)
Enumeration Date2009-04-07
Last Update Date2009-04-07
Business Address
MS. SUZAN DIANE KINGMA LCSW
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9750
Phone number: 503-652-2880
Mailing Address
MS. SUZAN DIANE KINGMA LCSW
9583 SE DENALI DR
HAPPY VALLEY, OR 97086-7307
Phone number: 503-954-2904
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