Individual
MARINA E MENEGOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CENTER FOR SOCIAL DYNAMICS, 9115 SOUTHWEST OLESON RD. STE. 100, PORTLAND, OR 97223
(510) 328-7178
Mailing address
1145 RURAL AVE SE APT 13, SALEM, OR 97302-2841
(503) 432-3068
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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