STEPHANIE JOAN LARSON

FAIRVIEW, OR
NPI1962110189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-11-07
Last Update Date2022-11-07
Business Address
STEPHANIE JOAN LARSON
1945 NE 205TH AVE
FAIRVIEW, OR 97024-9622
Phone number: 503-661-8050
Mailing Address
STEPHANIE JOAN LARSON
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170