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1508498908
BRIAN BRACELIN
PORTLAND, OR
NPI
1508498908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11188)
Enumeration Date
2020-02-04
Last Update Date
2023-11-09
Business Address
BRIAN BRACELIN LCSW
2332 SE 52ND AVE
PORTLAND, OR 97215-3912
Phone number: 503-878-9741
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Mailing Address
BRIAN BRACELIN LCSW
2332 SE 52ND AVE
PORTLAND, OR 97215-3912
Phone number: 503-878-9741
Copy
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