Individual
HANNAH WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1900 NE DIVISION ST STE 108, BEND, OR 97701-3526
(810) 965-5871
Mailing address
1900 NE DIVISION ST STE 108, BEND, OR 97701-3526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
12/11/2019
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