STACEY MARLENE KELLER

PORTLAND, OR
NPI1316590144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L7752)
Enumeration Date2019-07-21
Last Update Date2023-11-27
Business Address
Mrs. STACEY MARLENE KELLER LCSW
4400 NE HALSEY ST
PORTLAND, OR 97213-1545
Phone number: 971-263-3942
Mailing Address
Mrs. STACEY MARLENE KELLER LCSW
4204 SE 63RD AVE
PORTLAND, OR 97206-3767
Phone number: 503-819-8903
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