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1750915716
BEVERLY DIANE KIRK
MCMINNVILLE, OR
NPI
1750915716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C5240)
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
BEVERLY DIANE KIRK LPC
410 NE 3RD ST STE 2
MCMINNVILLE, OR 97128-4624
Phone number: 503-435-4840
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Mailing Address
BEVERLY DIANE KIRK LPC
2557 EQUESTIAN LOOP S
SALEM, OR 97302
Phone number: 971-720-3297
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