GLENN DAVID MAIA

PORTLAND, OR
NPI1114353521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-09-17
Last Update Date2013-09-17
Business Address
-- GLENN DAVID MAIA M.A.
707 NE COUCH STREET
PORTLAND, OR 97232
Phone number: 503-542-4603
Mailing Address
-- GLENN DAVID MAIA M.A.
707 NE COUCH STREET
PORTLAND, OR 97232
Phone number: 503-542-4603
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