Individual
MARY GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60575 BILLADEAU RD, BEND, OR 97702-9338
(541) 389-1848
Mailing address
572 S ASH ST, SISTERS, OR 97759-1410
(612) 590-5186
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29385
MN
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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