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1104408871
KELLIE WARD
ROSEBURG, OR
NPI
1104408871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OR R6803)
Enumeration Date
2021-04-22
Last Update Date
2021-04-22
Business Address
KELLIE WARD MS, LPC Intern
272 NW MEDICAL LOOP STE
ROSEBURG, OR 97471-5597
Phone number: 541-900-4285
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Mailing Address
KELLIE WARD MS, LPC Intern
1757 SCHOOLHOUSE CT NW
SALEM, OR 97304-3292
Phone number: 541-760-1033
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