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1205311180
AMY KENNEDY
PORTLAND, OR
NPI
1205311180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R5448)
Enumeration Date
2018-09-26
Last Update Date
2018-09-26
Business Address
AMY KENNEDY CRC, LPC Intern
1020 SW TAYLOR ST STE 366
PORTLAND, OR 97205-2508
Phone number: 503-908-5505
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Mailing Address
AMY KENNEDY CRC, LPC Intern
1020 SW TAYLOR ST STE 366
PORTLAND, OR 97205-2508
Phone number: 503-908-5505
Copy
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