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1972080711
KATIE KING
KEIZER, OR
NPI
1972080711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 18-04-07)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
KATIE KING CADC I
1184 MCGEE CT NE
KEIZER, OR 97303-9443
Phone number: 503-304-4358
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Mailing Address
KATIE KING CADC I
PO BOX 20674
KEIZER, OR 97307-0674
Phone number: 503-304-4358
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