LAUREL LYNN WALLACE

ENTERPRISE, OR
NPI1881337319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2022-04-13
Last Update Date2022-08-08
Business Address
LAUREL LYNN WALLACE
606 MEDICAL PKY
ENTERPRISE, OR 97828
Phone number: 541-426-4524
Mailing Address
LAUREL LYNN WALLACE
405 NW 2ND ST
ENTERPRISE, OR 97828-1014
Phone number: 541-398-8671
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