Individual
CAROL A ZANCANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
965 SW EMKAY DR STE 200, BEND, OR 97702-3598
(541) 410-4374
(541) 678-5972
Mailing address
965 SW EMKAY DR, SUITE 200, BEND, OR 97702-3598
(541) 410-4374
(541) 678-5972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2638
OR
Other
Enumeration date
08/21/2006
Last updated
12/31/2012
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