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1962555714
JANICE G. BRIDGEWATER
PORTLAND, OR
NPI
1962555714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OR L3788)
Additional Taxonomies
101Y00000X Counselor
(Licence: OR 3788)
Enumeration Date
2007-01-18
Last Update Date
2022-09-06
Business Address
Ms. JANICE G. BRIDGEWATER LCSW
1235 SE DIVISION #104
PORTLAND, OR 97202
Phone number: 503-888-9540
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Mailing Address
Ms. JANICE G. BRIDGEWATER LCSW
1235 SE DIVISION #104
PORTLAND, OR 97202
Phone number: 503-888-9540
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