STEPHANIE MOORE

GRANTS PASS, OR
NPI1134639891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-10-09
Last Update Date2017-10-09
Business Address
STEPHANIE MOORE
418 NW 6TH ST STE 102
GRANTS PASS, OR 97526-2006
Phone number: 541-672-2691
Mailing Address
STEPHANIE MOORE
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: