MIMI KOONTZ

EUGENE, OR
NPI1972884427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L4711)
Enumeration Date2011-08-29
Last Update Date2014-07-15
Business Address
-- MIMI KOONTZ LCSW
550 RIVER RD
EUGENE, OR 97404-3212
Phone number: 541-743-2611
Mailing Address
-- MIMI KOONTZ LCSW
550 RIVER RD
EUGENE, OR 97404-3212
Phone number: 541-743-2611
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