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1306253943
KAITLYN ELIZABETH STARK
SAINT HELENS, OR
NPI
1306253943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-07-15
Last Update Date
2014-07-15
Business Address
-- KAITLYN ELIZABETH STARK
271 COLUMBIA BLVD
SAINT HELENS, OR 97051-2021
Phone number: 503-397-0391
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Mailing Address
-- KAITLYN ELIZABETH STARK
PO BOX 1234
SAINT HELENS, OR 97051-8234
Phone number: 503-397-5211
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