LACY LEA PREMO

GOLD BEACH, OR
NPI1023749736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-06-22
Last Update Date2025-06-17
Business Address
LACY LEA PREMO
29845 AIRPORT WAY
GOLD BEACH, OR 97444
Phone number: 541-708-9582
Mailing Address
LACY LEA PREMO
29845 AIRPORT WAY
GOLD BEACH, OR 97444
Phone number: 541-708-9582
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