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1548755168
SUSAN DOUGLAS
PORTLAND, OR
NPI
1548755168
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Former Name
SUSAN KENNEDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-06-26
Last Update Date
2022-03-30
Business Address
SUSAN DOUGLAS
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5102
Phone number: 866-523-4268
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Mailing Address
SUSAN DOUGLAS
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number: 866-523-4268
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