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1720448020
KANDI KAY KIRBY
ROSEBURG, OR
NPI
1720448020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-29
Last Update Date
2016-02-29
Business Address
Miss KANDI KAY KIRBY CADC I
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-672-2691
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Mailing Address
Miss KANDI KAY KIRBY CADC I
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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