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1861620700
KELLIE J ROBERTS
GLADSTONE, OR
NPI
1861620700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-30
Last Update Date
2017-07-03
Business Address
-- KELLIE J ROBERTS
870 82ND DR BLDG C
GLADSTONE, OR 97027-1803
Phone number: 503-659-5515
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Mailing Address
-- KELLIE J ROBERTS
PO BOX 82819
PORTLAND, OR 97282
Phone number:
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