RAPHEL DANIELLE COUSINS

PORTLAND, OR
NPI1922638790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L8263)
Enumeration Date2020-01-21
Last Update Date2020-01-21
Business Address
RAPHEL DANIELLE COUSINS LCSW
8536 SE STARK ST
PORTLAND, OR 97216-1140
Phone number: 541-944-3688
Mailing Address
RAPHEL DANIELLE COUSINS LCSW
9110 NW WOOD ROSE LOOP
PORTLAND, OR 97229-4190
Phone number: 541-944-3688