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1922237742
CONSTANCE JOAN COQUILLETTE
PORTLAND, OR
NPI
1922237742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3057)
Enumeration Date
2009-07-14
Last Update Date
2009-07-14
Business Address
-- CONSTANCE JOAN COQUILLETTE LCSW
2410 SE 121ST AVE STE 216
PORTLAND, OR 97216-4085
Phone number: 971-404-5174
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Mailing Address
-- CONSTANCE JOAN COQUILLETTE LCSW
12105 NE 40TH CIR
VANCOUVER, WA 98682-6488
Phone number: 971-404-5174
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