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ML
Mark Licitra, Lcsw
Clinical Social Worker
8613 Se 8Th Ave, Portland, OR 97202
Public record information
- NPI Number
- 1568821973
- Specialty Type
- Clinical Social Worker
Contact Information
- Practice Address
- 8613 Se 8Th Ave
Portland, OR 97202 - Phone
- (215) 490-6557
Location
8613 Se 8Th Ave, Portland, OR, 97202
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Data sourced from the US National Provider Identifier (NPI) Registry — a public government database. NPI: 1568821973 · Verify on NPI Registry