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1306507629
NICOLE LAVONNE ALTSTADT
GRESHAM, OR
NPI
1306507629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A5691)
Enumeration Date
2022-01-08
Last Update Date
2022-01-08
Business Address
Mrs. NICOLE LAVONNE ALTSTADT MSW, CSWA
4295 SW TEGART LN
GRESHAM, OR 97080-8653
Phone number: 503-545-9939
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Mailing Address
Mrs. NICOLE LAVONNE ALTSTADT MSW, CSWA
4295 SW TEGART LN
GRESHAM, OR 97080-8653
Phone number: 503-545-9939
Copy
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