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1396287207
SHANNON DAUGHERTY
PORTLAND, OR
NPI
1396287207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2016-11-08
Last Update Date
2016-11-08
Business Address
SHANNON DAUGHERTY MSW
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
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Mailing Address
SHANNON DAUGHERTY MSW
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
Copy
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