Individual
ELIZABETH GUTZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1011 SW EMKAY DR STE 104, BEND, OR 97702-3162
(541) 323-3477
Mailing address
1260 SW SILVER LAKE BLVD UNIT 100, BEND, OR 97702-2989
(828) 279-6017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801101083
MI
1041C0700X
Clinical Social Worker
Primary
L8501
OR
Other
Enumeration date
06/30/2017
Last updated
12/20/2019
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