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1477045128
JUDY B HICKEY
PORTLAND, OR
NPI
1477045128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 12-12-28)
Enumeration Date
2018-05-30
Last Update Date
2022-03-25
Business Address
MS. JUDY B HICKEY CADC I
17645 NW SAINT HELENS RD
PORTLAND, OR 97231-1729
Phone number: 503-621-1069
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Mailing Address
MS. JUDY B HICKEY CADC I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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