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MS. BERNICE CHARLENE BEDDOE

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

Registrant NPI Number: 1609901735

Individual Registrant:
MS. BERNICE CHARLENE BEDDOE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
620 5TH AVENUE  FAIRBANKS, AK 99701 US
Tel: 907-474-0890  Fax: 907-474-3621

Contact information for business:
215 INA STREET  FAIRBANKS, AK 99701 US
Tel: 907-474-0890  Fax: 907-474-3621

Registration Information:
NPI: 1609901735
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
AK330

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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