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1700124641
CHARLENE DELOISE MCCLEOUD
PORTLAND, OR
NPI
1700124641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L10510)
Enumeration Date
2013-01-28
Last Update Date
2022-12-19
Business Address
CHARLENE DELOISE MCCLEOUD
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
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Mailing Address
CHARLENE DELOISE MCCLEOUD
PO BOX 14614
PORTLAND, OR 97293-0614
Phone number: 971-393-6084
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