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1518012566
MARY KATHLEEN MOORE
PORTLAND, OR
NPI
1518012566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 03-139)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Ms. MARY KATHLEEN MOORE MA ATR
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-762-7320
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Mailing Address
Ms. MARY KATHLEEN MOORE MA ATR
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number:
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