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1841567534
KELLY BENTZ
PORTLAND, OR
NPI
1841567534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R1309)
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
-- KELLY BENTZ
150 SE 80TH AVE
PORTLAND, OR 97215-1522
Phone number: 503-819-4231
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Mailing Address
-- KELLY BENTZ
150 SE 80TH AVE
PORTLAND, OR 97215-1522
Phone number: 503-819-4231
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