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1487052791
REBEKAH CLARK
PORTLAND, OR
NPI
1487052791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 5914)
Enumeration Date
2014-12-18
Last Update Date
2014-12-18
Business Address
-- REBEKAH CLARK
2303 E BURNSIDE ST
PORTLAND, OR 97214-1655
Phone number: 503-827-3644
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Mailing Address
-- REBEKAH CLARK
2303 E BURNSIDE ST
PORTLAND, OR 97214-1655
Phone number: 503-827-3644
Copy
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