Individual
MS. ALLISON ANN SHADDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
61558 DEVILS LAKE DRIVE, BEND, OR 97702-9150
(808) 469-7623
(808) 263-3655
Mailing address
61558 DEVILS LAKE DRIVE, BEND, OR 97702-9150
(808) 469-7623
(808) 263-3655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10752
OR
1041C0700X
Clinical Social Worker
LW00008141
WA
Other
Enumeration date
10/22/2007
Last updated
02/16/2023
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