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1205159340
BRENDA IMOGEN WIERSCHIN
PORTLAND, OR
NPI
1205159340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: L004393)
Enumeration Date
2010-03-03
Last Update Date
2010-03-03
Business Address
-- BRENDA IMOGEN WIERSCHIN LCSW
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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Mailing Address
-- BRENDA IMOGEN WIERSCHIN LCSW
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
Copy
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