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1295086767
KIMBERLY RENEE MCCOLLUM
SALEM, OR
NPI
1295086767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: OR 2107)
Enumeration Date
2012-09-25
Last Update Date
2012-09-25
Business Address
KIMBERLY RENEE MCCOLLUM PSYD
2600 CENTER ST NE
SALEM, OR 97301-2669
Phone number: 503-947-2868
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Mailing Address
KIMBERLY RENEE MCCOLLUM PSYD
2600 CENTER ST NE
SALEM, OR 97301-2669
Phone number:
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