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1083215958
KENNEDY CHEYENNE BENITEZ
PORTLAND, OR
NPI
1083215958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
KENNEDY CHEYENNE BENITEZ
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number: 503-546-7387
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Mailing Address
KENNEDY CHEYENNE BENITEZ
6200 SE KING RD
PORTLAND, OR 97222-2891
Phone number:
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