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1366559692
KERRA E BLAKELY
PORTLAND, OR
NPI
1366559692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3585)
Enumeration Date
2006-08-24
Last Update Date
2018-03-17
Business Address
KERRA E BLAKELY CADC, LCSW
3710 SW US VETERANS HOSPITAL RD P3-PRRC
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
KERRA E BLAKELY CADC, LCSW
PO BOX 1034 P3-PRRC
PORTLAND, OR 97207-1034
Phone number: 503-220-8262
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