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Individual

ANNA MARIE JORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
5285 MEADOWS RD STE 170, LAKE OSWEGO, OR 97035-3478
(503) 726-5216
Mailing address
7464 154TH CT N, WEST PALM BEACH, FL 33418-1952
(561) 222-4626

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1409
OR
1041C0700X
Clinical Social Worker
LSW11187
FL
1041C0700X
Clinical Social Worker
SW15785
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101372400
FL
Enumeration date
11/08/2016
Last updated
05/02/2024
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