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1659522993
STACEY SNOVER
CLACKAMAS, OR
NPI
1659522993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2664)
Enumeration Date
2008-10-06
Last Update Date
2008-10-06
Business Address
-- STACEY SNOVER LCSW
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-4750
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Mailing Address
-- STACEY SNOVER LCSW
919 SE 52ND PL
PORTLAND, OR 97215-2628
Phone number: 503-234-5477
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