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1669955209
KELLY MAE NOWAK
SALEM, OR
NPI
1669955209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-09-10
Last Update Date
2019-01-15
Business Address
KELLY MAE NOWAK
1073 OAK ST SE
SALEM, OR 97301-4018
Phone number: 503-585-4949
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Mailing Address
KELLY MAE NOWAK
4372 THORMAN AVE NE
KEIZER, OR 97303-4652
Phone number: 775-800-3217
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