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1891251286
ROBERT KELLY
CANBY, OR
NPI
1891251286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-11
Last Update Date
2022-03-23
Business Address
ROBERT KELLY MA, CADC-I
178 SW 2ND AVE
CANBY, OR 97013-4152
Phone number: 503-416-4547
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Mailing Address
ROBERT KELLY MA, CADC-I
178 SW 2ND AVE
CANBY, OR 97013-4152
Phone number: 503-848-5861
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