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1831505213
KYLE HIGGINS
PORTLAND, OR
NPI
1831505213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6053)
Enumeration Date
2014-07-07
Last Update Date
2014-07-17
Business Address
-- KYLE HIGGINS LCSW
5725 NE PRESCOTT ST
PORTLAND, OR 97218-2275
Phone number: 503-493-4258
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Mailing Address
-- KYLE HIGGINS LCSW
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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