OZARK GORE

LACEY, WA
NPI1750916086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TA0400X Psychologist, Addiction (Substance Use Disorder)
Enumeration Date2020-03-06
Last Update Date2020-03-06
Business Address
OZARK GORE
4804 LACEY BLVD SE STE A
LACEY, WA 98503-5733
Phone number: 360-799-5782
Mailing Address
OZARK GORE
6703 OAKBROOK CT SE
OLYMPIA, WA 98513-5672
Phone number: 808-214-4948
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