TRACY LEON WISE

EUGENE, OR
NPI1699920462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-11-20
Last Update Date2017-01-31
Business Address
-- TRACY LEON WISE
3575 DONALD ST STE 600
EUGENE, OR 97405-4753
Phone number: 541-520-8633
Mailing Address
-- TRACY LEON WISE
3575 DONALD ST STE 600
EUGENE, OR 97405-4753
Phone number: 541-520-8633