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Individual

MRS. SIMONE LEA NAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
1200 NW MARSHALL ST, #615, PORTLAND, OR 97209-3165
(503) 319-8228

Taxonomy

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

Other

Enumeration date
09/02/2009
Last updated
09/02/2009
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