Cynthia Stidd, Lcsw, LLC
Social Worker, Clinical in Bend, OR. Organization (NPI-2).
NPI number1356942015
StatusActive
Last updated in NPPESNov 7, 2020
Details
- NPI
- 1356942015
- Entity type
- Organization (NPI-2)
- Legal business name
- Cynthia Stidd, Lcsw, LLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2020
- Certification date
- Nov 7, 2020
- Last updated
- Nov 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
60831 Windsor DrBend, OR 97702-9502
Phone 541-209-0287
Mailing address
60831 Windsor DrBend, OR 97702-9502
Phone 541-209-0287
Authorized official
Cynthia Stidd
Provider/Owner
5412090287
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