# JUDY ROTONDI LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942441324
- **Authorized official:** MS. JUDY LEA ROTONDI LCSW (SOCIAL WORKER)
- **Authorized official phone:** (541) 280-2789

## Contact information

- **Practice address:** 754 NW BROADWAY ST, SUITE 201, BEND, OR 97701-2776
- **Practice address phone:** (541) 280-2789
- **Practice address fax:** (541) 383-7121
- **Mailing address:** 754 NW BROADWAY ST, SUITE 201, BEND, OR 97701-2776
- **Mailing address phone:** (541) 280-2789
- **Mailing address fax:** (541) 383-7121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L2636 | OR | Yes |

## Other

- **Enumeration date:** 03/16/2009
- **Last updated:** 03/16/2009