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Individual

DEIRDRE LYNN MIMS KASBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS SOCIOLOGY

Contact information

Practice address
19 SW CENTURY DR, BEND, OR 97702-1048
(541) 389-1409
(541) 389-9348
Mailing address
62895 HAMBY RD, BEND, OR 97701-9575
(541) 389-1409
(541) 389-9348

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
08/25/2023
Last updated
08/25/2023
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