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1417647165
JESSICA KINGSWELL
CANBY, OR
NPI
1417647165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-08
Last Update Date
2024-08-28
Business Address
JESSICA KINGSWELL
113 N ELM ST
CANBY, OR 97013-3519
Phone number: 503-372-5147
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Mailing Address
JESSICA KINGSWELL
113 N ELM ST
CANBY, OR 97013-3519
Phone number:
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