MARTHA JANET LACY

CLACKAMAS, OR
NPI1053625970
Professional NameJAN LACY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2010-08-03
Last Update Date2020-07-21
Business Address
MARTHA JANET LACY QMHA
12901 SE 97TH AVE STE 340
CLACKAMAS, OR 97015-7903
Phone number: 503-434-7462
Mailing Address
MARTHA JANET LACY QMHA
12901 SE 97TH AVE STE 340
CLACKAMAS, OR 97015-7903
Phone number: 503-303-2879
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