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1669112298
ROSYLN CONTESSLA WILDE
PORTLAND, OR
NPI
1669112298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L11114)
Enumeration Date
2022-03-31
Last Update Date
2022-11-08
Business Address
ROSYLN CONTESSLA WILDE LCSW
9054 N NEW YORK AVE
PORTLAND, OR 97203-3036
Phone number: 971-412-2620
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Mailing Address
ROSYLN CONTESSLA WILDE LCSW
9054 N NEW YORK AVE
PORTLAND, OR 97203-3036
Phone number: 503-462-4440
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