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1306368477
KRISTINA CAROLYN HEADRICK
PORTLAND, OR
NPI
1306368477
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Former Name
KRISTINA CAROLYN LAFFERTY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A4731)
Enumeration Date
2017-07-11
Last Update Date
2021-11-23
Business Address
KRISTINA CAROLYN HEADRICK MSW
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 503-494-2762
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Mailing Address
KRISTINA CAROLYN HEADRICK MSW
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 503-494-2781
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