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1972193332
JAMIE MAZHNIKOVA
PORTLAND, OR
NPI
1972193332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-20-412)
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
Ms. JAMIE MAZHNIKOVA CADC-R
1316 SE 12TH AVE
PORTLAND, OR 97214-3604
Phone number: 503-897-1916
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Mailing Address
Ms. JAMIE MAZHNIKOVA CADC-R
1316 SE 12TH AVE
PORTLAND, OR 97214-3604
Phone number: 503-897-1916
Copy
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