SUZANNE GAIL TIDDY

PORTLAND, OR
NPI1710097746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L000830)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Ms. SUZANNE GAIL TIDDY LCSW
10373 NE HANCOCK ST SUITE 220
PORTLAND, OR 97220-3873
Phone number: 503-491-0399
Mailing Address
Ms. SUZANNE GAIL TIDDY LCSW
712 SW MILLER CT
GRESHAM, OR 97080-9396
Phone number: 503-491-0399
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