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1992860803
JUSTIN C O'HANLON
MILWAUKIE, OR
NPI
1992860803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3787)
Enumeration Date
2006-12-22
Last Update Date
2011-06-21
Business Address
-- JUSTIN C O'HANLON LCSW
2100 SE LAKE RD #2A
MILWAUKIE, OR 97222-7759
Phone number: 503-753-4559
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Mailing Address
-- JUSTIN C O'HANLON LCSW
2100 SE LAKE RD #2A
MILWAUKIE, OR 97222-7759
Phone number: 503-753-4559
Copy
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