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1770116394
KIMBERLY WYATT
SALEM, OR
NPI
1770116394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L4367)
Enumeration Date
2020-02-21
Last Update Date
2020-02-21
Business Address
KIMBERLY WYATT MSW
2600 CENTER ST NE
SALEM, OR 97301-2669
Phone number: 503-947-2882
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Mailing Address
KIMBERLY WYATT MSW
1805 SE 30TH AVE
PORTLAND, OR 97214-4934
Phone number: 503-320-1654
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