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1689069353
JESSICA WILLIS
PORTLAND, OR
NPI
1689069353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2015-03-31
Last Update Date
2016-01-25
Business Address
-- JESSICA WILLIS MSW
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-593-5366
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Mailing Address
-- JESSICA WILLIS MSW
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-593-5366
Copy
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