KATT GILLIS MAYFAIR

SPRINGFIELD, OR
NPI1518055102
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2006-10-10
Last Update Date2009-06-12
Business Address
-- KATT GILLIS MAYFAIR
525 S 57TH PL
SPRINGFIELD, OR 97478-5410
Phone number: 541-744-0394
Mailing Address
-- KATT GILLIS MAYFAIR
525 S 57TH PL
SPRINGFIELD, OR 97478-5410
Phone number: 541-744-0394
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