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1861940306
DARELIVETHRIVE, LLC
PORTLAND, OR
NPI
1861940306
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Entity Type
Organization
Authorized Contact
SHANE D KENNINGTON
Owner
818-370-6423
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
DARELIVETHRIVE, LLC
4730 SW MACADAM AVE SUITE 201-G
PORTLAND, OR 97239-6417
Phone number: 818-370-6423
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Mailing Address
DARELIVETHRIVE, LLC
4730 SW MACADAM AVE SUITE 201-G
PORTLAND, OR 97239-6417
Phone number: 818-370-6423
Copy
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