Organization
POSITIVE POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH MARIE BOONE LCSW (PRESIDENT)
(541) 312-3090
Entity
Organization
Contact information
Practice address
336 NE NORTON AVE, SUITE 3, BEND, OR 97701-4350
(541) 312-3090
(541) 317-8488
Mailing address
336 NE NORTON AVE, SUITE 3, BEND, OR 97701-4350
(541) 312-3090
(541) 317-8488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3116
OR
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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