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1801362322
KIMBERLY E HENRY
ROSEBURG, OR
NPI
1801362322
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Former Name
KIMBERLY RIDDLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-10-23
Last Update Date
2024-03-21
Business Address
KIMBERLY E HENRY
3005 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470-3609
Phone number: 541-673-3469
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Mailing Address
KIMBERLY E HENRY
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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