ALICIA GRACE BLACK

JASPER, OR
NPI1063810828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-12-10
Last Update Date2014-12-10
Business Address
-- ALICIA GRACE BLACK
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
Mailing Address
-- ALICIA GRACE BLACK
37875 JASPER LOWELL RD
JASPER, OR 97438-9751
Phone number: 541-747-1235
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