Individual
KIMBERLY L BAKONDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
611 W 1ST ST, HALSEY, OR 97348-9676
(541) 829-3537
Mailing address
611 W 1ST ST APT A, HALSEY, OR 97348-9677
(541) 829-3537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8119
OR
Other
Enumeration date
11/10/2008
Last updated
12/20/2025
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