Individual
LINDA S LAVALLEE CONNIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
216 SW MADISON AV, #9 10, CORVALLIS, OR 97333
(541) 752-4803
(541) 752-3360
Mailing address
216 SW MADISON AV, #9 10, CORVALLIS, OR 97333
(541) 752-4803
(541) 752-3360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
766
OR
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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