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1467587618
SUZANNE KAPUAMAILANI WALLACE
PORTLAND, OR
NPI
1467587618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3489)
Enumeration Date
2007-02-21
Last Update Date
2013-11-01
Business Address
Ms. SUZANNE KAPUAMAILANI WALLACE MSW, ASW, LCSW
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266-6302
Phone number: 503-258-4200
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Mailing Address
Ms. SUZANNE KAPUAMAILANI WALLACE MSW, ASW, LCSW
9911 SE MT.SCOTT BOULEVARD
PORTLAND, OR 97266
Phone number: 503-258-4200
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