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Individual

ANNETTE L PELLETIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
62239 POWELL BUTTE HWY, BEND, OR 97701-9355
(541) 204-1079
Mailing address
62239 POWELL BUTTE HWY, BEND, OR 97701-9355
(541) 204-1079

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10167219-3501
UT
1041C0700X
Clinical Social Worker
Primary
L14359
OR

Other

Enumeration date
04/03/2019
Last updated
09/11/2024
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