WAVERLY TYRESE WILLIAMS

MCMINNVILLE, OR
NPI1982112249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2018-01-19
Last Update Date2018-10-02
Business Address
WAVERLY TYRESE WILLIAMS
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-560-6434
Mailing Address
WAVERLY TYRESE WILLIAMS
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 503-560-6434
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