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Individual

ALLISON WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1011 SW EMKAY DR STE 101, BEND, OR 97702-3162
(458) 836-5188
Mailing address
1011 SW EMKAY DR STE 101, BEND, OR 97702-3162
(458) 836-5188

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
74162
CA
1041C0700X
Clinical Social Worker
Primary
L10374
OR

Other

Enumeration date
11/08/2016
Last updated
11/29/2023
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