Individual
MRS. ANGELA MARIE ABOUSAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LBS-PA
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(814) 746-2383
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(814) 746-2383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BH000140
PA
104100000X
Social Worker
Primary
M6441
OR
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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