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1396010286
JESSIE KULLBERG
NORTH BEND, OR
NPI
1396010286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L5271)
Enumeration Date
2012-03-12
Last Update Date
2013-07-26
Business Address
-- JESSIE KULLBERG LCSW
1944 SHERMAN AVE STE 201
NORTH BEND, OR 97459-3478
Phone number: 541-260-6098
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Mailing Address
-- JESSIE KULLBERG LCSW
PO BOX 1316
NORTH BEND, OR 97459-0088
Phone number: 541-260-6098
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