Individual
JENNIFER MARIE DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1722 NW RALEIGH ST SPC 412, PORTLAND, OR 97209
(240) 483-9647
Mailing address
6906 N RICHARDS ST, PORTLAND, OR 97203-6138
(971) 266-1081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L7695
OR
1041C0700X
Clinical Social Worker
Primary
L7965
OR
Other
Enumeration date
10/11/2018
Last updated
03/24/2020
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