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1013590546
LACEY J WAHLE
EUGENE, OR
NPI
1013590546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-05-03
Last Update Date
2021-05-03
Business Address
LACEY J WAHLE
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-343-2993
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Mailing Address
LACEY J WAHLE
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-343-2993
Copy
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