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1225300122
HEIDI MAE KINKADE
SPRINGFIELD, OR
NPI
1225300122
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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
2012-02-08
Last Update Date
2018-03-13
Business Address
HEIDI MAE KINKADE
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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Mailing Address
HEIDI MAE KINKADE
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
Copy
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