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1740808278
ISSA LILEY UBIDIA-LUCKETT
LAKE OSWEGO, OR
NPI
1740808278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
ISSA LILEY UBIDIA-LUCKETT MSW
2507 CHRISTIE DRIVE
LAKE OSWEGO, OR 97034
Phone number: 503-675-2246
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Mailing Address
ISSA LILEY UBIDIA-LUCKETT MSW
101 N MORRIS ST APT 102
PORTLAND, OR 97227-1573
Phone number: 760-267-7995
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