Individual
AMY RUTH CREVOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
969 NW SYCAMORE AVE, CORVALLIS, OR 97330-1530
(541) 714-3640
(541) 981-5069
Mailing address
969 NW SYCAMORE AVE, CORVALLIS, OR 97330-1530
(541) 714-3640
(541) 981-5069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8049
OR
Other
Enumeration date
11/16/2013
Last updated
10/10/2024
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