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1578956082
MATIA KELLY
PORTLAND, OR
NPI
1578956082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C5221)
Enumeration Date
2015-03-07
Last Update Date
2023-01-09
Business Address
MATIA KELLY LPC
224 NE 28TH AVE
PORTLAND, OR 97232-3148
Phone number: 971-251-0221
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Mailing Address
MATIA KELLY LPC
224 NE 28TH AVE
PORTLAND, OR 97232-3148
Phone number: 971-251-0221
Copy
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