LACY RENEE BANUELOS

GRANTS PASS, OR
NPI1760072086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-01-20
Last Update Date2021-01-20
Business Address
LACY RENEE BANUELOS
1545 HARBECK RD
GRANTS PASS, OR 97527-5605
Phone number: 541-476-2373
Mailing Address
LACY RENEE BANUELOS
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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