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Individual

MANOLA APRIL KERR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8017 SE 64TH AVE, PORTLAND, OR 97206-9601
(541) 829-9162
Mailing address
8017 SE 64TH AVE, PORTLAND, OR 97206-9601
(541) 829-9162

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L10484
OR

Other

Enumeration date
01/30/2023
Last updated
04/11/2024
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