GLENDA LEE LEWIS

GRANTS PASS, OR
NPI1912366139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  G07-03-05)
Enumeration Date2016-02-16
Last Update Date2016-02-16
Business Address
Mrs. GLENDA LEE LEWIS CADC II, CAGC II, CA
418 NW 6TH ST
GRANTS PASS, OR 97470-2006
Phone number: 541-474-1033
Mailing Address
Mrs. GLENDA LEE LEWIS CADC II, CAGC II, CA
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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