Individual
NAIME NANSEN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
686 NW YORK DR, BEND, OR 97703-9857
(541) 390-7288
Mailing address
61579 ODELL LAKE DR, BEND, OR 97702-9146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10474
OR
Other
Enumeration date
06/09/2017
Last updated
07/11/2023
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