Individual
MRS. SHEYANNE L PETROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17255 MERGANSER DR, BEND, OR 97707-2087
(541) 589-2987
Mailing address
17255 MERGANSER DR, BEND, OR 97707-2087
(541) 589-2987
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2802
HI
Other
Enumeration date
09/07/2021
Last updated
06/27/2025
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