BENJAMIN A LA MAR

COOS BAY, OR
NPI1174253264
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-06-13
Last Update Date2022-06-13
Business Address
BENJAMIN A LA MAR MSW Intern
375 PARK AVE STE 2
COOS BAY, OR 97420-2242
Phone number: 541-404-6238
Mailing Address
BENJAMIN A LA MAR MSW Intern
63875 WALLACE RD
COOS BAY, OR 97420-8779
Phone number: 541-404-6238
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