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1316600711
LAUREN DIAZ
MEDFORD, OR
NPI
1316600711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C7472)
Enumeration Date
2021-10-21
Last Update Date
2024-03-26
Business Address
LAUREN DIAZ
810 E JACKSON ST
MEDFORD, OR 97504-6773
Phone number: 541-500-7111
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Mailing Address
LAUREN DIAZ
810 E JACKSON ST
MEDFORD, OR 97504-6773
Phone number: 541-500-7111
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