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Individual

MS. JANETB BARDOSSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7528 SE 34TH AVE, PORTLAND, OR 97202-8312
(503) 380-1730
Mailing address
7528 SE 34TH AVE, PORTLAND, OR 97202-8312
(503) 380-1730

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1870
OR

Other

Enumeration date
06/30/2014
Last updated
06/30/2014
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