STACEY LEE DANISZEWSKI

MEDFORD, OR
NPI1851934913
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-10-22
Last Update Date2019-10-22
Business Address
STACEY LEE DANISZEWSKI
3200 JUANIPERO WAY
MEDFORD, OR 97504-8580
Phone number: 541-816-4131
Mailing Address
STACEY LEE DANISZEWSKI
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170