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1891301990
MARY EDSON SMITH
GRESHAM, OR
NPI
1891301990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L10327)
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
MARY EDSON SMITH LCSW
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030-3774
Phone number: 503-666-8832
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Mailing Address
MARY EDSON SMITH LCSW
1224 NE 53RD AVE
PORTLAND, OR 97213-2858
Phone number: 971-716-4822
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