JERRY WILLIAM LACY

COOS BAY, OR
NPI1841826310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-03-17
Last Update Date2020-03-17
Business Address
JERRY WILLIAM LACY
1885 THOMPSON RD
COOS BAY, OR 97420-2152
Phone number: 541-266-8480
Mailing Address
JERRY WILLIAM LACY
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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