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1245493626
KERRY SAMUEL GOLDSTEIN
PORTLAND, OR
NPI
1245493626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-07-07
Last Update Date
2009-08-31
Business Address
-- KERRY SAMUEL GOLDSTEIN M.A.
320 SW STARK ST STE 402
PORTLAND, OR 97204-2626
Phone number: 503-267-3607
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Mailing Address
-- KERRY SAMUEL GOLDSTEIN M.A.
320 SW STARK ST STE 402
PORTLAND, OR 97204-2626
Phone number: 503-267-3607
Copy
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