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1720117674
COLLEEN M KELLY
PORTLAND, OR
NPI
1720117674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C1691)
Enumeration Date
2007-03-05
Last Update Date
2014-09-19
Business Address
-- COLLEEN M KELLY LPC
537 SE ALDER ST
PORTLAND, OR 97214-2231
Phone number: 503-972-9633
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Mailing Address
-- COLLEEN M KELLY LPC
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-235-8655
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