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1861860140
ALYSSA MACKINTOSH
PORTLAND, OR
NPI
1861860140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L5819)
Enumeration Date
2015-09-03
Last Update Date
2015-09-03
Business Address
-- ALYSSA MACKINTOSH LCSW
2931 NE BROADWAY ST
PORTLAND, OR 97232-1760
Phone number: 503-545-9097
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Mailing Address
-- ALYSSA MACKINTOSH LCSW
2931 NE BROADWAY ST
PORTLAND, OR 97232-1760
Phone number: 503-545-9097
Copy
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