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1659890887
STACY L MANDZIJ
PORTLAND, OR
NPI
1659890887
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Other Name
STACIA L MANDZIJ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OR L8570)
Enumeration Date
2017-09-19
Last Update Date
2020-10-12
Business Address
STACY L MANDZIJ LCSW
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
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Mailing Address
STACY L MANDZIJ LCSW
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 971-386-2278
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