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1780032656
SHILETHA KENNEDY
PORTLAND, OR
NPI
1780032656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-06-01
Last Update Date
2016-06-01
Business Address
-- SHILETHA KENNEDY
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
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Mailing Address
-- SHILETHA KENNEDY
22745 NE HALSEY ST APT 82
FAIRVIEW, OR 97024-4607
Phone number: 503-724-2251
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