LACY LEA PREMO

GOLD BEACH, OR
NPI1023749736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-06-22
Last Update Date2022-06-22
Business Address
LACY LEA PREMO
29413 RUSSELL ST
GOLD BEACH, OR 97444-7748
Phone number: 541-247-6566
Mailing Address
LACY LEA PREMO
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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