Individual
MRS. SHELLI LYNN HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1707 SW PARKWAY DR, REDMOND, OR 97756-2581
(585) 624-1350
Mailing address
63417 LEDGESTONE CT, BEND, OR 97701-7723
(585) 233-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4279
OR
1041C0700X
Clinical Social Worker
R052334
NY
Other
Enumeration date
10/04/2006
Last updated
09/03/2008
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