Individual
JESSICA MARIE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3601
Mailing address
12710 SE DIVISION ST, PORTLAND, OR 97236
(503) 988-3691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
03/09/2010
Last updated
03/17/2010
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