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1205050556
THERESA DIANNE CABALLERO ORTIZ
VANCOUVER, WA
NPI
1205050556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW 60541848)
Enumeration Date
2007-04-11
Last Update Date
2015-08-06
Business Address
Mrs. THERESA DIANNE CABALLERO ORTIZ LICSW
9300 NE OAK VIEW DR
VANCOUVER, WA 98662-6347
Phone number: 360-567-2211
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Mailing Address
Mrs. THERESA DIANNE CABALLERO ORTIZ LICSW
10265 SW WALNUT STREET
TIGARD, OR 97223-5114
Phone number:
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