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1558590653
KIMBERLY LYNN WALL
PORTLAND, OR
NPI
1558590653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3341)
Enumeration Date
2009-07-09
Last Update Date
2015-11-03
Business Address
-- KIMBERLY LYNN WALL LCSW
2705 E BURNSIDE ST SUITE 206
PORTLAND, OR 97214-1763
Phone number: 503-449-2951
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Mailing Address
-- KIMBERLY LYNN WALL LCSW
3638 NE 77TH AVE
PORTLAND, OR 97213-6406
Phone number: 503-449-2951
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