KELLIE JO DICKINSON

ONTARIO, OR
NPI1861890634
Former NameKELLY JO GRAHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-12-10
Last Update Date2014-12-10
Business Address
-- KELLIE JO DICKINSON
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
Mailing Address
-- KELLIE JO DICKINSON
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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