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1649335936
SUSAN E. BALLOUN
PORTLAND, OR
NPI
1649335936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 2246)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
Ms. SUSAN E. BALLOUN MSW
3310 SE DIVISION ST
PORTLAND, OR 97202-1457
Phone number: 593-226-3212
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Mailing Address
Ms. SUSAN E. BALLOUN MSW
3310 SE DIVISION ST
PORTLAND, OR 97202-1457
Phone number: 593-226-3212
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