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1073852976
KELLIE NICHOLE DAVIS
CORVALLIS, OR
NPI
1073852976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-12
Last Update Date
2013-02-12
Business Address
Ms. KELLIE NICHOLE DAVIS
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
Ms. KELLIE NICHOLE DAVIS
26919 OLD HOLLEY RD
SWEET HOME, OR 97386-9538
Phone number: 541-981-3002
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