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1447480215
LACEY JILL MACKENZIE
ONTARIO, OR
NPI
1447480215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC- 4348)
Enumeration Date
2009-07-15
Last Update Date
2009-07-15
Business Address
Ms. LACEY JILL MACKENZIE LPC
1219 SW 4TH AVE UNIT 1
ONTARIO, OR 97914-4500
Phone number: 541-889-2668
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Mailing Address
Ms. LACEY JILL MACKENZIE LPC
1233 W 4TH ST
WEISER, ID 83672-1533
Phone number: 208-739-0982
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