DONALD SCOTT MICKEY

MEDFORD, OR
NPI1952774101
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-11-10
Last Update Date2019-10-23
Business Address
DONALD SCOTT MICKEY BS
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-774-4812
Mailing Address
DONALD SCOTT MICKEY BS
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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