Individual
KIMBERLY DAWN HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
182 SW ACADEMY ST, SUITE 304, DALLAS, OR 97338-1922
(503) 623-9289
(503) 831-1726
Mailing address
182 SW ACADEMY ST, SUITE 304, DALLAS, OR 97338-1922
(503) 623-9289
(503) 831-1726
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
04/10/2007
Last updated
07/26/2007
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