Individual
MS. EVELINE THERESIA BRIEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
731 NW FRANKLIN AVE, # 107, BEND, OR 97703-2752
(541) 617-0377
(541) 617-0377
Mailing address
61950 JANALEE PL, BEND, OR 97702
(541) 213-6056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2936
OR
Other
Enumeration date
10/08/2014
Last updated
03/08/2016
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