Individual
LINDA J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1885 NE PURCELL BLVD, BEND, OR 97701-6022
(541) 706-2700
(541) 516-3877
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 706-2700
(541) 516-3877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L321
OR
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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