MAIA ANTOINETTE BELLAVIA

PORTLAND, OR
NPI1629721949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OR  A14732)
Enumeration Date2022-01-27
Last Update Date2024-01-12
Business Address
MAIA ANTOINETTE BELLAVIA
1500 NE IRVING ST
PORTLAND, OR 97232-2243
Phone number: 971-352-6971
Mailing Address
MAIA ANTOINETTE BELLAVIA
2355 STATE ST STE 101
SALEM, OR 97301-4541
Phone number: 503-383-1769
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