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1538926902
JENNIFER MARIE FAKHRY
PORTLAND, OR
NPI
1538926902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
JENNIFER MARIE FAKHRY CADC
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 971-351-0914
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Mailing Address
JENNIFER MARIE FAKHRY CADC
13199 SW NICOLE LN
PORTLAND, OR 97224-1820
Phone number: 503-481-1878
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