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1942484407
JEAN LOUISE WATERMAN
PORTLAND, OR
NPI
1942484407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 1272)
Enumeration Date
2007-12-19
Last Update Date
2007-12-19
Business Address
Ms. JEAN LOUISE WATERMAN LCSW
605 SE 39TH AVE
PORTLAND, OR 97214-3216
Phone number: 503-231-7480
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Mailing Address
Ms. JEAN LOUISE WATERMAN LCSW
7805 SW TAYLORS FERRY RD
PORTLAND, OR 97223-9072
Phone number: 503-244-3509
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