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1538845219
KASSIDY ELLIS
MCMINNVILLE, OR
NPI
1538845219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
KASSIDY ELLIS
435 NE EVANS ST STE A
MCMINNVILLE, OR 97128-4635
Phone number: 503-472-4020
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Mailing Address
KASSIDY ELLIS
208 SE HOPE CT
SHERIDAN, OR 97378-6001
Phone number:
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