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1003586819
SHELBY MCKENZIE SPADE
CANBY, OR
NPI
1003586819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
SHELBY MCKENZIE SPADE
22018 S CENTRAL POINT RD
CANBY, OR 97013-8705
Phone number: 503-221-4531
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Mailing Address
SHELBY MCKENZIE SPADE
4305 SE 59TH AVE
PORTLAND, OR 97206-3853
Phone number: 585-545-0708
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