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1861023947
GWYN DENISE KINGERY
NEWPORT, OR
NPI
1861023947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR MHACBO)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
GWYN DENISE KINGERY QMHA
51 SW LEE ST
NEWPORT, OR 97365-3823
Phone number: 541-574-5963
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Mailing Address
GWYN DENISE KINGERY QMHA
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-4179
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