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1174220594
KELCIE CANNON
ASTORIA, OR
NPI
1174220594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-02-15
Last Update Date
2023-02-15
Business Address
KELCIE CANNON
115 W BOND ST
ASTORIA, OR 97103-6009
Phone number: 503-325-5722
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Mailing Address
KELCIE CANNON
65 N HIGHWAY 101 STE 204
WARRENTON, OR 97146-9371
Phone number: 503-325-5722
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