FAWN MATHIS

COOS BAY, OR
NPI1942997028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-04-19
Last Update Date2023-04-19
Business Address
FAWN MATHIS
2020 THOMPSON RD
COOS BAY, OR 97420-2041
Phone number: 541-267-3511
Mailing Address
FAWN MATHIS
1750 NEBRASKA AVE BLDG A
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943
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