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1457784035
LACEY R SPON
GRANTS PASS, OR
NPI
1457784035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-08-19
Last Update Date
2013-08-19
Business Address
-- LACEY R SPON BS
210 TACOMA ST
GRANTS PASS, OR 97527-5500
Phone number: 541-476-3302
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Mailing Address
-- LACEY R SPON BS
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number:
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