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1366198152
KATEY D STUKALOV
TIGARD, OR
NPI
1366198152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-03-01
Last Update Date
2022-03-01
Business Address
KATEY D STUKALOV
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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Mailing Address
KATEY D STUKALOV
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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