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Individual

ROGER ALLEN KRYZANEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.C.S.W.

Contact information

Practice address
336 NE NORTON AVE STE 4, BEND, OR 97701-4350
(541) 382-8870
(541) 382-8870
Mailing address
PO BOX 7334, BEND, OR 97708-7334
(541) 382-8870
(541) 382-8870

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L0154
OR

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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