MYRA BAZELL

PORTLAND, OR
NPI1659627024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L8297)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: GA  CSW005321)
Enumeration Date2012-08-03
Last Update Date2020-05-02
Business Address
MYRA BAZELL LCSW
820 NW 12TH AVE APT 606
PORTLAND, OR 97209-3052
Phone number: 215-917-3367
Mailing Address
MYRA BAZELL LCSW
820 NW 12TH AVE APT 606
PORTLAND, OR 97209-3052
Phone number: 215-917-3367