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1538207287
MADELYN ANTINUCCI
PORTLAND, OR
NPI
1538207287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L003608)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
-- MADELYN ANTINUCCI LCSW
2415 SE 43RD AVE SUITE 100
PORTLAND, OR 97206-1600
Phone number: 503-238-0705
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Mailing Address
-- MADELYN ANTINUCCI LCSW
2415 SE 43RD AVE SUITE 100
PORTLAND, OR 97206-1600
Phone number: 503-238-0705
Copy
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