KEVIN DAVID MICHAEL MENASCO

PORTLAND, OR
NPI1225475387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L9518)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2013-05-30
Last Update Date2022-03-09
Business Address
KEVIN DAVID MICHAEL MENASCO L.C.S.W.
32 NE 11TH AVE
PORTLAND, OR 97232
Phone number: 978-979-6094
Mailing Address
KEVIN DAVID MICHAEL MENASCO L.C.S.W.
32 NE 11TH AVE
PORTLAND, OR 97232
Phone number: 978-979-6094
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