Organization
JUDY ROTONDI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY LEA ROTONDI LCSW (SOCIAL WORKER)
(541) 280-2789
Entity
Organization
Contact information
Practice address
754 NW BROADWAY ST, SUITE 201, BEND, OR 97701-2776
(541) 280-2789
(541) 383-7121
Mailing address
754 NW BROADWAY ST, SUITE 201, BEND, OR 97701-2776
(541) 280-2789
(541) 383-7121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2636
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619988706
NPI
OR
Enumeration date
03/16/2009
Last updated
03/16/2009
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