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NPI Code Detail

MEDICARE: MRS. EVE HARRIETTE BEDFORD LISW-CP, LCSW

MEDICARE:  MRS. EVE HARRIETTE BEDFORD  LISW-CP,  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW14574FL
21041C0700XClinical Social Worker9248SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336389733
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EVE HARRIETTE BEDFORD LISW-CP, LCSW
Provider Business Mailing Address
First Line : 11150 HERON BAY BLVD
Second Line : APT 523
City : CORAL SPRINGS
State : FL
Zip : 33076-1610
Country : US
Telephone Number : 803-865-5035
Fax Number : 803-865-5035
Provider Business Practice Location Address
First Line : 7401 WILES RD STE 208
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-2036
Country : US
Telephone Number : 954-656-8619
Fax Number : 954-827-2981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2009
Last Update Date : 07/21/2022

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Directions to “ MRS. EVE HARRIETTE BEDFORD LISW-CP, LCSW” Practice Location

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