TRACY GLENN EAGER

MEDFORD, OR
NPI1467812164
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  94-10-88)
Enumeration Date2016-02-24
Last Update Date2018-11-02
Business Address
Mr. TRACY GLENN EAGER CADC 2
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
Mailing Address
Mr. TRACY GLENN EAGER CADC 2
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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