MCKENNA ROSE JAQUES

MCMINNVILLE, OR
NPI1396282174
Former NameMCKENNA ROSE MINER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-01-31
Last Update Date2017-01-31
Business Address
-- MCKENNA ROSE JAQUES
1525 SW SHIRLEY ANN DR
MCMINNVILLE, OR 97128-7665
Phone number: 503-472-4055
Mailing Address
-- MCKENNA ROSE JAQUES
1525 SW SHIRLEY ANN DR
MCMINNVILLE, OR 97128-7665
Phone number:
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