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1598006728
SONJA CHARLENE CRISOSTO
PORTLAND, OR
NPI
1598006728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11236)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2013-03-13
Last Update Date
2024-02-05
Business Address
SONJA CHARLENE CRISOSTO LCSW
4224 NE HALSEY ST STE 335
PORTLAND, OR 97213-1568
Phone number: 503-922-6616
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Mailing Address
SONJA CHARLENE CRISOSTO LCSW
7509 NE PACIFIC ST
PORTLAND, OR 97213-6274
Phone number: 971-212-9843
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