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1942745898
JOLEEN ROSS, LCSW, CADC I
PORTLAND, OR
NPI
1942745898
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Entity Type
Organization
Authorized Contact
JOLEEN ROSS
Therapist
971-322-4265
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: OR 5773)
Enumeration Date
2017-01-02
Last Update Date
2017-01-02
Business Address
JOLEEN ROSS, LCSW, CADC I
1216 NW 21ST AVE
PORTLAND, OR 97209-1609
Phone number: 971-322-4265
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Mailing Address
JOLEEN ROSS, LCSW, CADC I
15119 NW NIGHTSHADE DR
PORTLAND, OR 97229-1573
Phone number: 971-322-4265
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