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1013635408
KATRINA JEANNINE WEST
DALLAS, OR
NPI
1013635408
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Former Name
KATRINA JEANNINE WIRTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-22
Last Update Date
2024-10-23
Business Address
KATRINA JEANNINE WEST QMHP
182 SW ACADEMY ST
DALLAS, OR 97338-1996
Phone number: 503-623-9289
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Mailing Address
KATRINA JEANNINE WEST QMHP
1825 NE OAR AVE
LINCOLN CITY, OR 97367-3947
Phone number: 541-290-9201
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