ALLISON RAE SUPNICK

BEAVERTON, OR
NPI1992049258
Former NameALLISON RAE DALE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies1041C0700X Social Worker, Clinical
1041S0200X Social Worker, School
Enumeration Date2012-11-26
Last Update Date2012-11-26
Business Address
-- ALLISON RAE SUPNICK MSW
14025 SW FARMINGTON RD SUITE 160
BEAVERTON, OR 97005-2512
Phone number: 503-258-4511
Mailing Address
-- ALLISON RAE SUPNICK MSW
14025 SW FARMINGTON RD SUITE 160
BEAVERTON, OR 97005-2512
Phone number: 503-807-3083