TIMOTHY PAUL LANDRY

COTTAGE GROVE, OR
NPI1700340270
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  L6526)
Enumeration Date2019-01-29
Last Update Date2019-03-05
Business Address
TIMOTHY PAUL LANDRY LCSW
1450 BIRCH AVE
COTTAGE GROVE, OR 97424-1417
Phone number: 503-347-0003
Mailing Address
TIMOTHY PAUL LANDRY LCSW
PO BOX 291
COTTAGE GROVE, OR 97424-0010
Phone number: 503-347-0003
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