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Individual

DENISE LILA GOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7824 SE 13TH AVE, PORTLAND, OR 97202-6350
(503) 860-1227
Mailing address
7637 SE 31ST AVE, PORTLAND, OR 97202-8534

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2788
OR

Other

Enumeration date
09/02/2011
Last updated
06/04/2015
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