ERICA LYNN IDSO

MEDFORD, OR
NPI1407111925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: MN  2208)
Enumeration Date2012-07-10
Last Update Date2017-07-17
Business Address
Ms. ERICA LYNN IDSO MS, LMFT
19 MYRTLE ST
MEDFORD, OR 97504-7337
Phone number: 541-773-3863
Mailing Address
Ms. ERICA LYNN IDSO MS, LMFT
900 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 541-842-7704
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