LACEY R SPON

GRANTS PASS, OR
NPI1457784035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-08-19
Last Update Date2013-08-19
Business Address
-- LACEY R SPON BS
210 TACOMA ST
GRANTS PASS, OR 97527-5500
Phone number: 541-476-3302
Mailing Address
-- LACEY R SPON BS
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: