MICHAEL R DATZ

MEDFORD, OR
NPI1235434382
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-01-21
Last Update Date2014-12-17
Business Address
Mr. MICHAEL R DATZ MA
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
Mailing Address
Mr. MICHAEL R DATZ MA
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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