MICHAEL LILES

MADRAS, OR
NPI1578964813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-09-05
Last Update Date2014-09-05
Business Address
-- MICHAEL LILES
125 SW C ST
MADRAS, OR 97741-1458
Phone number: 541-475-6575
Mailing Address
-- MICHAEL LILES
125 SW C ST
MADRAS, OR 97741-1458
Phone number: 541-475-6575
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