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1013243641
JENNIFER LYNN KELLY
PORTLAND, OR
NPI
1013243641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-11-02
Last Update Date
2009-11-02
Business Address
-- JENNIFER LYNN KELLY MA
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
-- JENNIFER LYNN KELLY MA
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
Copy
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