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1275834673
SUSAN GAIEEN CLARK
MCMINNVILLE, OR
NPI
1275834673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 904006311)
Enumeration Date
2010-11-16
Last Update Date
2010-11-16
Business Address
Miss SUSAN GAIEEN CLARK LCSW
627 N EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-434-7527
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Mailing Address
Miss SUSAN GAIEEN CLARK LCSW
1232 NE 27TH ST
MCMINNVILLE, OR 97128-2331
Phone number: 541-227-1060
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