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1376923060
KRISTEN KELLEY
CLACKAMAS, OR
NPI
1376923060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A5600)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-06-08
Last Update Date
2021-12-24
Business Address
KRISTEN KELLEY CSWA
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 805-901-0962
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Mailing Address
KRISTEN KELLEY CSWA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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