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Individual

CHANDA MAUREEN DRISCOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2965 NE CONNERS AVE, SUITE 280, BEND, OR 97701-7753
(541) 323-4269
(541) 383-1883
Mailing address
600 SW COLUMBIA ST, SUITE 6210, BEND, OR 97702-1099
(541) 383-3005

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
596
AK
1041C0700X
Clinical Social Worker
Primary
L6154
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500708564
OR
Enumeration date
07/07/2010
Last updated
10/24/2016
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