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Individual

MICHELE LEE MARQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 684-1424
Mailing address
5474 LAWNDALE AVE, HUDSONVILLE, MI 49426-1234

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/24/2007
Last updated
12/09/2009
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