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1730596271
AMY STOCKER
ALOHA, OR
NPI
1730596271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-16
Last Update Date
2015-02-19
Business Address
-- AMY STOCKER
20887 SW MARTINI CT
ALOHA, OR 97078-4050
Phone number: 503-372-6403
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Mailing Address
-- AMY STOCKER
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number:
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