LAROY LACKEY

FAIRVIEW, OR
NPI1780982454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   professionallicense)
Enumeration Date2011-03-04
Last Update Date2023-11-01
Business Address
LAROY LACKEY
1945 NE 205TH AVE
FAIRVIEW, OR 97024-9622
Phone number: 503-661-8050
Mailing Address
LAROY LACKEY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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