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1568032050
MARY KIMA DOLSON
PORTLAND, OR
NPI
1568032050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR A12537)
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
MARY KIMA DOLSON
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number: 971-806-0587
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Mailing Address
MARY KIMA DOLSON
10564 SE WASHINGTON ST
PORTLAND, OR 97216-2809
Phone number: 971-806-0587
Copy
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