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1467941567
KELLEY LEE BRULEY
PORTLAND, OR
NPI
1467941567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-05-03
Last Update Date
2018-05-03
Business Address
KELLEY LEE BRULEY CADC I Candidate
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number: 503-228-9229
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Mailing Address
KELLEY LEE BRULEY CADC I Candidate
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number: 503-228-9229
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