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1801090840
AMY KILEEN BLACK
LAKE OSWEGO, OR
NPI
1801090840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-13
Last Update Date
2022-12-22
Business Address
AMY KILEEN BLACK
2507 CHRISTIE DR.
LAKE OSWEGO, OR 97034
Phone number: 503-635-3416
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Mailing Address
AMY KILEEN BLACK
PO BOX 368
MARYLHURST, OR 97036-0368
Phone number: 503-635-3416
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