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ANDREW A BEAULIEU LMSW
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1801036603
Individual Registrant: ANDREW A BEAULIEU LMSW
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
5955 ZEAMER AVENUE 3MDG ELMENDORF AFB, AK 99506 US
Tel: 907-580-3205 Fax: --
Tel: 907-580-3205 Fax: --
Contact information for business:
5955 ZEAMER AVENUE 3MDG ELMENDORF AFB, AK 99506 US
Tel: 907-580-3205 Fax: --
Tel: 907-580-3205 Fax: --
Registration Information:
NPI: 1801036603
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker | AK | 869 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
