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1174279111
MAKENNA MARIE COFFEE
MCMINNVILLE, OR
NPI
1174279111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2022-02-28
Last Update Date
2023-10-11
Business Address
MAKENNA MARIE COFFEE
435 NE EVANS ST
MCMINNVILLE, OR 97128-4628
Phone number: 503-472-4020
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Mailing Address
MAKENNA MARIE COFFEE
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128-4635
Phone number:
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