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Individual

MRS. LESLIE COLLINS FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
2130 SW 5TH AVE, SUITE 210, PORTLAND, OR 97201-4976
(503) 238-0769
(503) 963-7711
Mailing address
33000 S. MOLALLA FOREST ROAD, MOLALLA, OR 97038
(503) 829-3380

Taxonomy

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

Other

Enumeration date
01/29/2007
Last updated
07/08/2007
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