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1598736035
DIANA MARTHA CLARK
LAKE OSWEGO, OR
NPI
1598736035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 1594)
Enumeration Date
2006-02-01
Last Update Date
2007-07-08
Business Address
Ms. DIANA MARTHA CLARK LCSW MSW MA DMIN
15100 SW BOONES FERRY RD STE 850
LAKE OSWEGO, OR 97035-3423
Phone number: 503-636-1625
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Mailing Address
Ms. DIANA MARTHA CLARK LCSW MSW MA DMIN
15100 SW BOONES FERRY RD STE 850
LAKE OSWEGO, OR 97035-3423
Phone number: 503-636-1625
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