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1326879578
LISA EDWARDS
GRANTS PASS, OR
NPI
1326879578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
LISA EDWARDS
205 FRUITDALE DR
GRANTS PASS, OR 97527-5267
Phone number: 541-476-2373
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Mailing Address
LISA EDWARDS
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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