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1821017864
DIANE L BERRY
PORTLAND, OR
NPI
1821017864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 2067)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- DIANE L BERRY LCSW
8305 SE MONTEREY #220
PORTLAND, OR 97266
Phone number: 503-650-4359
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Mailing Address
-- DIANE L BERRY LCSW
PO BOX 249
GLADSTONE, OR 97027
Phone number: 503-650-4359
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