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1255100996
KATE SMITH
SALEM, OR
NPI
1255100996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR THW000108652)
Enumeration Date
2023-12-21
Last Update Date
2023-12-21
Business Address
KATE SMITH PSS
1190 BROADWAY ST NE
SALEM, OR 97301-1141
Phone number: 503-393-4273
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Mailing Address
KATE SMITH PSS
1069 OAKWOOD ST NE
KEIZER, OR 97303-1880
Phone number: 503-507-4588
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