KATIE HARGRAVES LONG

MEDFORD, OR
NPI1457065559
Former NameKATIE MOCKRY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-01-12
Last Update Date2023-01-12
Business Address
KATIE HARGRAVES LONG
10 CRATER LAKE AVE BLDG A
MEDFORD, OR 97504-7445
Phone number: 541-772-0127
Mailing Address
KATIE HARGRAVES LONG
1750 NEBRASKA AVE BLDG A
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943