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GLYKERIA MANIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9135 SW BARNES RD, PORTLAND, OR 97225-6646
(503) 216-1234
Mailing address
PO BOX 3396, PORTLAND, OR 97208-3396
(503) 216-2380

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7439
OR

Other

Enumeration date
08/03/2011
Last updated
11/02/2023
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