Connie J Kersenbrock, Lcsw

NPI #1710528989 in Bend, Oregon

Provider Information

NPI Number: 1710528989
Entity Type: Organization
Organization Name: Connie J Kersenbrock, Lcsw
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 30, 2019
Last Updated: Sep 30, 2019

Practice Location

Address: 300 SE REED MARKET RD STE 110
City: Bend
State: Oregon
ZIP Code: 97702-2237
Phone: (620) 966-6925

Authorized Official

Name: CONNIE KERSENBROCK, LCSW
Title: OWNER
Phone: (620) 966-6925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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