KEN STICKLER

GRANTS PASS, OR
NPI1508291311
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-09-11
Last Update Date2015-02-02
Business Address
-- KEN STICKLER
1750 NEBRASKA AVE
GRANTS PASS, OR 97527-5700
Phone number: 541-474-5579
Mailing Address
-- KEN STICKLER
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-474-5579
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