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1366966012
KYIRA WACKETT
MILWAUKIE, OR
NPI
1366966012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C5188)
Enumeration Date
2017-08-02
Last Update Date
2019-02-12
Business Address
KYIRA WACKETT MS, LPC
2115 SE ADAMS ST STE B
MILWAUKIE, OR 97222
Phone number: 503-659-3480
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Mailing Address
KYIRA WACKETT MS, LPC
8027 SE 49TH AVE
PORTLAND, OR 97206-0824
Phone number: 414-217-2985
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