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1396875472
NYLA STUCKEY
PORTLAND, OR
NPI
1396875472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 1628)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- NYLA STUCKEY LCSW
1925 NW 23RD PL
PORTLAND, OR 97210-2535
Phone number: 503-223-6550
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Mailing Address
-- NYLA STUCKEY LCSW
1925 NW 23RD PL
PORTLAND, OR 97210-2535
Phone number: 503-223-6550
Copy
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