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Individual

MS. CHLOE VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
2410 SE 121ST AVE, SUITE 216, PORTLAND, OR 97216-4066
(503) 335-5975
Mailing address
2410 SE 121ST AVE, SUITE 216, PORTLAND, OR 97216-4066
(503) 335-5975

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
LW61035823
WA

Other

Enumeration date
07/07/2008
Last updated
03/08/2022
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