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1336578665
KIMBERLY WISOTZKE
PORTLAND, OR
NPI
1336578665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
Enumeration Date
2013-11-07
Last Update Date
2015-03-12
Business Address
-- KIMBERLY WISOTZKE
5440 SW WESTGATE DR STE 175
PORTLAND, OR 97221-2420
Phone number: 971-231-5519
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Mailing Address
-- KIMBERLY WISOTZKE
5440 SW WESTGATE DR STE 175
PORTLAND, OR 97221-2420
Phone number: 971-231-5519
Copy
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