JACKIE GREEN

MEDFORD, OR
NPI1144638255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-08-01
Last Update Date2015-01-05
Business Address
-- JACKIE GREEN M.S.
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
Mailing Address
-- JACKIE GREEN M.S.
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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