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1922638790
RAPHEL DANIELLE COUSINS
PORTLAND, OR
NPI
1922638790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L8263)
Enumeration Date
2020-01-21
Last Update Date
2020-01-21
Business Address
RAPHEL DANIELLE COUSINS LCSW
8536 SE STARK ST
PORTLAND, OR 97216-1140
Phone number: 541-944-3688
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Mailing Address
RAPHEL DANIELLE COUSINS LCSW
9110 NW WOOD ROSE LOOP
PORTLAND, OR 97229-4190
Phone number: 541-944-3688
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