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1144766221
KYLE KATHLEEN MOON
THE DALLES, OR
NPI
1144766221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-12
Last Update Date
2023-09-15
Business Address
KYLE KATHLEEN MOON
3601 W 10TH ST
THE DALLES, OR 97058-4377
Phone number: 503-234-9591
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Mailing Address
KYLE KATHLEEN MOON
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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