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1548757875
DANIEL DAVID KELLEY
LAKE OSWEGO, OR
NPI
1548757875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-04-23
Last Update Date
2018-04-23
Business Address
DANIEL DAVID KELLEY MA
5200 MEADOWS RD STE 150
LAKE OSWEGO, OR 97035-0066
Phone number: 503-726-5216
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Mailing Address
DANIEL DAVID KELLEY MA
4742 RIVERGROVE CT N
KEIZER, OR 97303-6249
Phone number: 503-385-6319
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