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1982284725
STEPHEN M REYNOLDS
PORTLAND, OR
NPI
1982284725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L8546)
Enumeration Date
2021-04-14
Last Update Date
2022-01-25
Business Address
STEPHEN M REYNOLDS LCSW
10260 SW GREENBURG RD STE 400
PORTLAND, OR 97223-5514
Phone number: 646-960-3553
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Mailing Address
STEPHEN M REYNOLDS LCSW
6298 SW GRAND OAKS DR APT F202
CORVALLIS, OR 97333-4773
Phone number:
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