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1295380624
KIM EVELYN WOLFORTH
MEDFORD, OR
NPI
1295380624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
KIM EVELYN WOLFORTH
201 W MAIN ST STE 4B
MEDFORD, OR 97501-2734
Phone number: 541-414-1720
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Mailing Address
KIM EVELYN WOLFORTH
201 W MAIN ST STE 4B
MEDFORD, OR 97501-2734
Phone number:
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