Individual
ANNE VAN DUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 SW COLORADO AVE STE 350, BEND, OR 97702-1130
(541) 389-0101
Mailing address
15 SW COLORADO AVE STE 350, BEND, OR 97702-1130
(541) 389-0101
(541) 389-0101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0358
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210696
—
OR
Enumeration date
05/22/2007
Last updated
07/08/2007
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