Individual
MICHELLE GOOGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7752
(541) 322-7160
(541) 316-2268
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
A3800
OR
1041C0700X
Clinical Social Worker
Primary
L8042
OR
Other
Enumeration date
08/05/2014
Last updated
01/14/2019
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