| Hannah Wadsworth Llc | |
|
1900 Ne Division St Ste 108 Bend OR 97701-3526 | |
| (810) 965-5871 | |
| Not Available |
| Full Name | Hannah Wadsworth Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1900 Ne Division St Ste 108, Bend, Oregon |
| Authorized Official Name and Position | Hannah Wadsworth (MEMBER) |
| Authorized Official Contact | 8109655871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Wadsworth Llc 1900 Ne Division St Ste 108 Bend OR 97701-3526 Ph: () - | Hannah Wadsworth Llc 1900 Ne Division St Ste 108 Bend OR 97701-3526 Ph: (810) 965-5871 |
| NPI Number | 1053957506 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053957506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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