STACEY LAROSE DAVIS

PORTLAND, OR
NPI1295452761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-10-25
Last Update Date2022-10-25
Business Address
STACEY LAROSE DAVIS
2208 SE 182ND AVE
PORTLAND, OR 97233-5608
Phone number: 503-797-7222
Mailing Address
STACEY LAROSE DAVIS
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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