Provider Demographics
NPI:1689475832
Name:CAMPOAMOR, MAIA ADELAIDA
Entity type:Individual
Prefix:
First Name:MAIA
Middle Name:ADELAIDA
Last Name:CAMPOAMOR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 PEAVEY TOWN RD
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04941-4327
Mailing Address - Country:US
Mailing Address - Phone:207-323-1084
Mailing Address - Fax:
Practice Address - Street 1:238 PEAVEY TOWN RD
Practice Address - Street 2:
Practice Address - City:MONTVILLE
Practice Address - State:ME
Practice Address - Zip Code:04941-4327
Practice Address - Country:US
Practice Address - Phone:207-323-1084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker