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1225323769
KELLY COOK
TIGARD, OR
NPI
1225323769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-06-13
Last Update Date
2011-06-13
Business Address
-- KELLY COOK
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3696
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Mailing Address
-- KELLY COOK
13298 SW YARROW WAY
TIGARD, OR 97223-2661
Phone number:
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