LEILA RUTH CARLSON

MEDFORD, OR
NPI1053026179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2023-01-23
Last Update Date2024-06-02
Business Address
LEILA RUTH CARLSON
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
Mailing Address
LEILA RUTH CARLSON
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373