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1578142899
MAKENNA LACEY DAVIS
COOS BAY, OR
NPI
1578142899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A12390)
Enumeration Date
2021-04-05
Last Update Date
2024-11-12
Business Address
Ms. MAKENNA LACEY DAVIS CSWA
1900 WOODLAND DR
COOS BAY, OR 97420-2099
Phone number: 541-267-5151
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Mailing Address
Ms. MAKENNA LACEY DAVIS CSWA
1139 CALIFORNIA AVE
COOS BAY, OR 97420-1111
Phone number: 541-525-5803
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