LACEY HENNEKE

ROSEBURG, OR
NPI1972272557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2021-09-08
Last Update Date2021-09-08
Business Address
LACEY HENNEKE
545 W UMPQUA ST STE 1
ROSEBURG, OR 97471-2979
Phone number: 541-957-5646
Mailing Address
LACEY HENNEKE
545 W UMPQUA ST STE 1
ROSEBURG, OR 97471-2979
Phone number: 541-957-5646