JEANETTE BLACK

GOLD BEACH, OR
NPI1174668875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-02-20
Last Update Date2019-10-09
Business Address
JEANETTE BLACK
29413 RUSSELL ST
GOLD BEACH, OR 97444-7748
Phone number: 541-247-6566
Mailing Address
JEANETTE BLACK
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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