PRISCILLA ANN STACK

GRANTS PASS, OR
NPI1750988713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-10-02
Last Update Date2020-10-02
Business Address
PRISCILLA ANN STACK
214 NW 3RD ST
GRANTS PASS, OR 97526-1913
Phone number: 541-476-0740
Mailing Address
PRISCILLA ANN STACK
214 NW 3RD ST
GRANTS PASS, OR 97526-1913
Phone number: 541-476-0740