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1760809792
THERESA SLOCUM
PORTLAND, OR
NPI
1760809792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR CADCI)
Enumeration Date
2014-03-27
Last Update Date
2014-03-27
Business Address
-- THERESA SLOCUM CADCI
506 SW 6TH AVE
PORTLAND, OR 97204-1533
Phone number: 503-223-5525
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Mailing Address
-- THERESA SLOCUM CADCI
506 SW 6TH AVE
PORTLAND, OR 97204-1533
Phone number: 503-223-5525
Copy
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