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Individual

KELLI MCKNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
1255 PEARL ST, SUITE 102, EUGENE, OR 97401-3570
(503) 910-3701
Mailing address
962 MISTLETOE LOOP N, KEIZER, OR 97303-4307

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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