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1851934913
STACEY LEE DANISZEWSKI
MEDFORD, OR
NPI
1851934913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-10-22
Last Update Date
2019-10-22
Business Address
STACEY LEE DANISZEWSKI
3200 JUANIPERO WAY
MEDFORD, OR 97504-8580
Phone number: 541-816-4131
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Mailing Address
STACEY LEE DANISZEWSKI
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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