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1104531615
JACY LEIGH BLACK
NEWBERG, OR
NPI
1104531615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-01-18
Last Update Date
2023-01-18
Business Address
JACY LEIGH BLACK
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number: 503-554-2390
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Mailing Address
JACY LEIGH BLACK
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number:
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