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1538136668
KIM T PENGELLY
OREGON CITY, OR
NPI
1538136668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2604)
Enumeration Date
2006-03-07
Last Update Date
2012-11-01
Business Address
-- KIM T PENGELLY LCSW
998 LIBRARY CT
OREGON CITY, OR 97045-4041
Phone number: 503-655-8401
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Mailing Address
-- KIM T PENGELLY LCSW
2051 KAEN RD SUITE 398
OREGON CITY, OR 97045-4088
Phone number: 503-742-5300
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