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1194862821
KELLEY STORY
LEBANON, OR
NPI
1194862821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 13-R-34)
Enumeration Date
2007-01-31
Last Update Date
2018-09-13
Business Address
KELLEY STORY LADC, CCS
100 MULLINS DR STE C2
LEBANON, OR 97355-2868
Phone number: 541-451-6388
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Mailing Address
KELLEY STORY LADC, CCS
100 MULLINS DR STE C2
LEBANON, OR 97355-2868
Phone number: 541-451-6388
Copy
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