MELODY ANN WICKSTROM

PORTLAND, OR
NPI1649734187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-01-29
Last Update Date2019-01-29
Business Address
MELODY ANN WICKSTROM
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
MELODY ANN WICKSTROM
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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