LARA JO LACKEY

CLACKAMAS, OR
NPI1780875427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3364)
Enumeration Date2007-08-07
Last Update Date2007-08-07
Business Address
-- LARA JO LACKEY M.S.W.
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
Mailing Address
-- LARA JO LACKEY M.S.W.
6403 N VILLARD AVE
PORTLAND, OR 97217-4046
Phone number: 503-705-5265
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