Individual
MARY J SCHLAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20805 COOLEY RD # 1, BEND, OR 97701-8076
(541) 647-8754
Mailing address
428 NW SISEMORE ST APT 1, BEND, OR 97703-2884
(541) 647-8754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013078
OR
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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