MARISA ANN STACKPOOLE

MEDFORD, OR
NPI1407427719
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-07-07
Last Update Date2022-08-23
Business Address
MARISA ANN STACKPOOLE
2368 CRATER LAKE AVE STE 102
MEDFORD, OR 97504-5006
Phone number: 541-727-1592
Mailing Address
MARISA ANN STACKPOOLE
201 W MAIN ST STE 4B
MEDFORD, OR 97501-2734
Phone number: 541-414-1720
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