SCOTT LACOCK

THE DALLES, OR
NPI1255864344
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-04-06
Last Update Date2017-04-06
Business Address
SCOTT LACOCK
1021 W 9TH ST
THE DALLES, OR 97058-1007
Phone number: 541-298-1920
Mailing Address
SCOTT LACOCK
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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