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Rachel Shannon Kitterman

Social Worker, Clinical in Salem, OR. Individual provider (NPI-1).

NPI number1245992007
StatusActive
Last updated in NPPESOct 8, 2021

Details

NPI
1245992007
Entity type
Individual (NPI-1)
Name
Rachel Shannon Kitterman
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2021
Certification date
Oct 8, 2021
Last updated
Oct 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

565 Union St Ne Ste 205
Salem, OR 97301-2418

Phone 503-991-5522

Mailing address

3566 Hulsey Ave Se
Salem, OR 97302-2602

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