LACY JO AVERA

MILWAUKIE, OR
NPI1205585825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-03-21
Last Update Date2022-03-21
Business Address
LACY JO AVERA
4199 SE KING RD
MILWAUKIE, OR 97222-5892
Phone number: 503-786-3830
Mailing Address
LACY JO AVERA
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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