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1336869403
MELISSA SUE NUCKLES
PORTLAND, OR
NPI
1336869403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-30
Last Update Date
2023-10-10
Business Address
MELISSA SUE NUCKLES
17720 NE HALSEY ST
PORTLAND, OR 97230-6776
Phone number: 503-654-7654
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Mailing Address
MELISSA SUE NUCKLES
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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