Individual
MS. LEZLIE NEUSTETER KELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
389 SW SCALEHOUSE CT, BEND, OR 97702-3241
(626) 185-3915
Mailing address
P.O. BOX 1716, SISTERS, OR 97759
(562) 618-5391
(619) 400-5159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
06/23/2024
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