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1255924023
BENJAMIN DALE KNOWLTON
PORTLAND, OR
NPI
1255924023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L8538)
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
BENJAMIN DALE KNOWLTON Lcsw
8510 N CURTIS AVE
PORTLAND, OR 97217
Phone number: 630-485-0790
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Mailing Address
BENJAMIN DALE KNOWLTON Lcsw
8510 N CURTIS AVE
PORTLAND, OR 97217
Phone number: 630-485-0790
Copy
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