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1710097746
SUZANNE GAIL TIDDY
PORTLAND, OR
NPI
1710097746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L000830)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Ms. SUZANNE GAIL TIDDY LCSW
10373 NE HANCOCK ST SUITE 220
PORTLAND, OR 97220-3873
Phone number: 503-491-0399
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Mailing Address
Ms. SUZANNE GAIL TIDDY LCSW
712 SW MILLER CT
GRESHAM, OR 97080-9396
Phone number: 503-491-0399
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