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1497102289
WILVY KROGSTAD
PORTLAND, OR
NPI
1497102289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: professionallicense)
Enumeration Date
2016-05-21
Last Update Date
2022-01-21
Business Address
WILVY KROGSTAD
17710 NE HALSEY ST
PORTLAND, OR 97230-6734
Phone number: 971-293-3468
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Mailing Address
WILVY KROGSTAD
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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