MARK DAVID LICITRA

PORTLAND, OR
NPI1568821973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  3920)
Enumeration Date2016-02-12
Last Update Date2016-02-12
Business Address
-- MARK DAVID LICITRA lcsw
3710 SW US VETERAN HOSPITAL RD.
PORTLAND, OR 97239
Phone number: 503-220-8262
Mailing Address
-- MARK DAVID LICITRA lcsw
3710 SW US VETERAN HOSPITAL RD.
PORTLAND, OR 97239
Phone number:
Similar providers in Portland, OR
KATIE ZENITH KOEHLER ESSER
TALINA IBABAO
AMANDA ROSEMARY CATCHPOLE
KITTY KLOUD
LESLEY KRAKAUER
JANET PARKER
LEANN WAGGONER
DONALD BONNER
ERICA JOCELYN BOYKINS
PERFORMANCE SOLUTIONS UNLIMITED, LLC