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1669983086
LACEY RENAE CORBETT
MEDFORD, OR
NPI
1669983086
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Former Name
LACEY RENAE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C5649)
Enumeration Date
2017-10-12
Last Update Date
2024-02-21
Business Address
LACEY RENAE CORBETT MA, QMHP, LPC
33 N CENTRAL AVE STE 219C
MEDFORD, OR 97501-5900
Phone number: 707-272-5590
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Mailing Address
LACEY RENAE CORBETT MA, QMHP, LPC
466 WILLIAMSON WAY
ASHLAND, OR 97520-1251
Phone number: 720-272-5590
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