SHAWNEE ELSA DALE

GRANTS PASS, OR
NPI1164718821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-06-21
Last Update Date2011-06-21
Business Address
-- SHAWNEE ELSA DALE BS
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
Mailing Address
-- SHAWNEE ELSA DALE BS
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943