Individual
MARISA MONTEBLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1424
(503) 684-1425
Mailing address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1424
(503) 684-1425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
11/13/2009
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