NICHOLAS MICHAEL SHOESMITH

GRANTS PASS, OR
NPI1912276841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies104100000X Social Worker
Enumeration Date2011-12-21
Last Update Date2019-02-26
Business Address
NICHOLAS MICHAEL SHOESMITH QMHA
1215 SW G ST
GRANTS PASS, OR 97526
Phone number: 541-476-2373
Mailing Address
NICHOLAS MICHAEL SHOESMITH QMHA
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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