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1073079083
REBECCA SUZANNE LACY
PORTLAND, OR
NPI
1073079083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
REBECCA SUZANNE LACY
2409 SE 139TH AVE
PORTLAND, OR 97233-2041
Phone number: 503-786-3830
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Mailing Address
REBECCA SUZANNE LACY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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