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1629030713
ALICE PENNIMAN ROSE
PORTLAND, OR
NPI
1629030713
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Former Name
ALICE MARSH WEISBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR LCSW2352)
Enumeration Date
2006-04-04
Last Update Date
2007-07-08
Business Address
-- ALICE PENNIMAN ROSE LCSW
5125 SW MACADAM AVE STE 145
PORTLAND, OR 97239
Phone number: 503-231-7854
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Mailing Address
-- ALICE PENNIMAN ROSE LCSW
5125 SW MACADAM AVE STE 145
PORTLAND, OR 97239
Phone number: 503-231-7854
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