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Individual

MS. JILLIAN ELIZABETH SAMMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
15 SW COLORADO AVE, SUITE 350, BEND, OR 97702-1150
(541) 647-0514
(541) 408-9016
Mailing address
15 SW COLORADO AVE, SUITE 350, BEND, OR 97702-1150
(541) 647-0514
(541) 408-9016

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4289
OR

Other

Enumeration date
01/12/2012
Last updated
10/23/2014
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