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MS. BERNICE CHARLENE BEDDOE
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1609901735
Individual Registrant:MS. BERNICE CHARLENE BEDDOE
Gender: F
Not Sole Proprietor
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
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
Tel: 907-474-0890 Fax: 907-474-3621
Registration Information:
NPI: 1609901735
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 | 330 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
