Individual
LYNN I VILIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
2200 4TH ST, BAKER CITY, OR 97814-2615
(541) 523-3646
Mailing address
2605 COLLEGE ST, BAKER CITY, OR 97814-2046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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