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1790446854
ALYSSA K PETTERSON
PORTLAND, OR
NPI
1790446854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L8171)
Enumeration Date
2021-12-31
Last Update Date
2021-12-31
Business Address
ALYSSA K PETTERSON LCSW
5151 SE HOLGATE BLVD APT 204
PORTLAND, OR 97206-3887
Phone number: 972-567-4084
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Mailing Address
ALYSSA K PETTERSON LCSW
5151 SE HOLGATE BLVD APT 204
PORTLAND, OR 97206-3887
Phone number: 972-567-4084
Copy
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