LICCI JAIMES

MCMINNVILLE, OR
NPI1417473992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  3095)
Enumeration Date2017-08-16
Last Update Date2020-01-03
Business Address
LICCI JAIMES PsyD
115 NE MAY LN
MCMINNVILLE, OR 97128-9272
Phone number: 503-472-1338
Mailing Address
LICCI JAIMES PsyD
PO BOX 6149
ALOHA, OR 97007-0149
Phone number: 503-352-8657
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