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1508482373
LESLIE JACKELEN ZIMMERMAN
HILLSBORO, OR
NPI
1508482373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
LESLIE JACKELEN ZIMMERMAN BA
720 SE WASHINGTON ST
HILLSBORO, OR 97123-4230
Phone number: 503-648-0753
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Mailing Address
LESLIE JACKELEN ZIMMERMAN BA
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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