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1700543303
JENNIFER STICKLEY
PORTLAND, OR
NPI
1700543303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR QMHP)
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
Mrs. JENNIFER STICKLEY QMHP
10373 NE HANCOCK ST
PORTLAND, OR 97220-3873
Phone number: 503-253-6745
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Mailing Address
Mrs. JENNIFER STICKLEY QMHP
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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