Individual
MR. SAMUEL WILLIAM GIOIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2036 MAIN ST, FOREST GROVE, OR 97116-2374
(503) 359-1515
Mailing address
PO BOX 428, FOREST GROVE, OR 97116-0428
(503) 359-1515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1525
OR
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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