KELLY LAURA LACOST

EUGENE, OR
NPI1487472320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  110535)
Enumeration Date2024-09-30
Last Update Date2024-09-30
Business Address
KELLY LAURA LACOST THW, PSS
261 E 12TH AVE
EUGENE, OR 97401-3208
Phone number: 541-780-4277
Mailing Address
KELLY LAURA LACOST THW, PSS
1258 HIGH ST
EUGENE, OR 97401-3238
Phone number: 541-337-1902