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1669666061
THELISSA D CASLEY
PORTLAND, OR
NPI
1669666061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: OR 930386966)
Enumeration Date
2007-08-29
Last Update Date
2007-08-29
Business Address
Ms. THELISSA D CASLEY
4818 NE 101ST AVE
PORTLAND, OR 97220-3319
Phone number: 503-758-4887
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Mailing Address
Ms. THELISSA D CASLEY
4818 NE 101ST AVE
PORTLAND, OR 97220-3319
Phone number: 503-758-4887
Copy
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