LAUREL ROSE PEW

MEDFORD, OR
NPI1487285425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-19-504)
Enumeration Date2020-01-29
Last Update Date2020-01-29
Business Address
LAUREL ROSE PEW
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
Mailing Address
LAUREL ROSE PEW
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763