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1639719735
KIMBERLY J WOODWORTH
PORTLAND, OR
NPI
1639719735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R5698)
Enumeration Date
2020-01-07
Last Update Date
2020-01-07
Business Address
KIMBERLY J WOODWORTH MS, LPC-Intern, NCC
2279 NW IRVING ST
PORTLAND, OR 97210-3222
Phone number: 503-575-5023
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Mailing Address
KIMBERLY J WOODWORTH MS, LPC-Intern, NCC
15789 SW VILLAGE CIR
BEAVERTON, OR 97007-3534
Phone number:
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