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1558045658
MITZY ELIZABETH KING
PORTLAND, OR
NPI
1558045658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11401)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
MITZY ELIZABETH KING LCSW
6708 N CONGRESS AVE
PORTLAND, OR 97217-1932
Phone number: 971-533-2657
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Mailing Address
MITZY ELIZABETH KING LCSW
6708 N CONGRESS AVE
PORTLAND, OR 97217-1932
Phone number: 971-533-2657
Copy
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