Individual
QUINN SEA LYDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 E JACKSON ST, MEDFORD, OR 97504-7034
(541) 842-3700
Mailing address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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