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1821481854
GENA FUAGA
CLACKAMAS, OR
NPI
1821481854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6520)
Enumeration Date
2015-03-16
Last Update Date
2021-12-17
Business Address
GENA FUAGA LCSW, LICSW
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-4755
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Mailing Address
GENA FUAGA LCSW, LICSW
PO BOX 230792
PORTLAND, OR 97281-0792
Phone number:
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