LUCAS SOUTHWORTH

SPRINGFIELD, OR
NPI1477391522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-07-15
Last Update Date2024-07-15
Business Address
LUCAS SOUTHWORTH
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
Mailing Address
LUCAS SOUTHWORTH
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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