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MR. ROBERT P BEAUDOIN MSW ACSW LICSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1215004320

Individual Registrant:
MR. ROBERT P BEAUDOIN MSW ACSW LICSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
575 TURNPIKE STREET SUITE 15 NORTH ANDOVER, MA 01845-5937 US
Tel: 978-688-7933  Fax: 978-688-7933

Contact information for business:
575 TURNPIKE STREET SUITE 15 NORTH ANDOVER, MA 01845-5937 US
Tel: 978-688-7933  Fax: 978-688-7933

Registration Information:
NPI: 1215004320
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
NH4
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
MA102219

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PRIVATE HEALTHCARE SYSTEM18334601
VALUE OPTIONS00326601
BCBSMAP01872MA01




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