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1609402924
GIA MICHELE BUCKBERG
PORTLAND, OR
NPI
1609402924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6820)
Enumeration Date
2020-03-18
Last Update Date
2020-03-18
Business Address
Ms. GIA MICHELE BUCKBERG LCSW
1722 NW RALEIGH ST SPC 418
PORTLAND, OR 97209-1754
Phone number: 503-272-1069
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Mailing Address
Ms. GIA MICHELE BUCKBERG LCSW
2701 SW BOUNDARY ST
PORTLAND, OR 97239-7101
Phone number: 503-913-7826
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