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1407272875
SUSAN PEASE BANITT
PORTLAND, OR
NPI
1407272875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2929)
Enumeration Date
2014-03-10
Last Update Date
2014-03-10
Business Address
Ms. SUSAN PEASE BANITT LCSW
530 NW 23RD AVE SUITE 109
PORTLAND, OR 97210-3275
Phone number: 971-207-2766
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Mailing Address
Ms. SUSAN PEASE BANITT LCSW
530 NW 23RD AVE SUITE 109
PORTLAND, OR 97210-3275
Phone number: 971-207-2766
Copy
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