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1326656851
SHANTIKA GREEN
GRESHAM, OR
NPI
1326656851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 8611)
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
SHANTIKA GREEN LCSW
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030-3774
Phone number: 503-666-8835
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Mailing Address
SHANTIKA GREEN LCSW
10802 SE 144TH LOOP
HAPPY VALLEY, OR 97086-8322
Phone number: 503-358-6756
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