Individual
LAILA JOSEPHINE AYYOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3085 NW DEER RUN ST, CORVALLIS, OR 97330-3104
(541) 760-0777
Mailing address
3085 NW DEER RUN ST, CORVALLIS, OR 97330-3104
(541) 760-0777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4558
OR
Other
Enumeration date
06/13/2007
Last updated
05/11/2015
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