DIAN L ERVIN

BEND, OR
NPI1700897907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L2161)
Enumeration Date2006-08-11
Last Update Date2013-06-20
Business Address
-- DIAN L ERVIN LCSW
2542 NE COURTNEY DR
BEND, OR 97701-7685
Phone number: 541-706-2768
Mailing Address
-- DIAN L ERVIN LCSW
PO BOX 5579
BEND, OR 97708-5579
Phone number: 541-706-2768
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