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1578944120
BONNIE KELLEY
PORTLAND, OR
NPI
1578944120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 6549)
Enumeration Date
2015-06-09
Last Update Date
2015-09-10
Business Address
-- BONNIE KELLEY
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Phone number: 503-238-0769
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Mailing Address
-- BONNIE KELLEY
P.O.BOX 8459
PORTLAND, OR 97207
Phone number: 503-238-0769
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