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1619032828
SALLY J. BLACKWOOD
PORTLAND, OR
NPI
1619032828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C1163)
Enumeration Date
2006-12-27
Last Update Date
2010-05-03
Business Address
Ms. SALLY J. BLACKWOOD MA, LPC
4838 NE SANDY BLVD SUITE 200
PORTLAND, OR 97213-2091
Phone number: 503-789-5261
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Mailing Address
Ms. SALLY J. BLACKWOOD MA, LPC
3615 NE GRAND AVE
PORTLAND, OR 97212-2104
Phone number: 503-789-5261
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