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1700492139
KATELYN M SPAIN
CLACKAMAS, OR
NPI
1700492139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-09-21
Last Update Date
2021-06-14
Business Address
KATELYN M SPAIN
12901 SE 97TH AVE STE 340
CLACKAMAS, OR 97015-7903
Phone number: 503-655-8045
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Mailing Address
KATELYN M SPAIN
687 KNOX ST N APT 98
MONMOUTH, OR 97361-1118
Phone number: 971-207-9517
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