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1508351172
SHANDRA RAE LAZAR
MEDFORD, OR
NPI
1508351172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-26
Last Update Date
2022-07-29
Business Address
SHANDRA RAE LAZAR LCSW
503 AIRPORT RD
MEDFORD, OR 97504-4159
Phone number: 307-315-5318
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Mailing Address
SHANDRA RAE LAZAR LCSW
719 ALYSSA CIR
PHOENIX, OR 97535-7715
Phone number: 307-315-5318
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