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1144916883
KAITLYN WILSON
PORTLAND, OR
NPI
1144916883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R8286)
Enumeration Date
2023-04-14
Last Update Date
2023-04-14
Business Address
KAITLYN WILSON
2950 SE STARK ST STE 130
PORTLAND, OR 97214-3082
Phone number: 559-908-0028
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Mailing Address
KAITLYN WILSON
2950 SE STARK ST STE 130
PORTLAND, OR 97214-3082
Phone number: 559-908-0028
Copy
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