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1730548215
JENNIFER CROCKER
TIGARD, OR
NPI
1730548215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C4884)
Enumeration Date
2016-02-12
Last Update Date
2023-09-07
Business Address
JENNIFER CROCKER LPC
11650 SW 67TH AVE
TIGARD, OR 97223-8589
Phone number: 503-308-9465
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Mailing Address
JENNIFER CROCKER LPC
11650 SW 67TH AVE
TIGARD, OR 97223-8589
Phone number: 503-308-9465
Copy
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