ANDREW STUCK

MEDFORD, OR
NPI1649678152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C4877)
Enumeration Date2014-12-15
Last Update Date2024-01-29
Business Address
ANDREW STUCK
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504-6295
Phone number: 541-500-8655
Mailing Address
ANDREW STUCK
PO BOX 1787
MEDFORD, OR 97501-0261
Phone number: 541-500-8655
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