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1972272557
LACEY HENNEKE
ROSEBURG, OR
NPI
1972272557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
LACEY HENNEKE
545 W UMPQUA ST STE 1
ROSEBURG, OR 97471-2979
Phone number: 541-957-5646
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Mailing Address
LACEY HENNEKE
545 W UMPQUA ST STE 1
ROSEBURG, OR 97471-2979
Phone number: 541-957-5646
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