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NPI Code Detail

MEDICARE: JESSICA E BEDFORD LICSW

MEDICARE: JESSICA E BEDFORD LICSW
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 Worker17468MN

General Provider Information

NPI Number : 1881917565
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA E BEDFORD LICSW
Provider Business Mailing Address
First Line : 1121 E 46TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-3562
Country : US
Telephone Number : 763-227-6010
Fax Number :
Provider Business Practice Location Address
First Line : 1121 E 46TH ST
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-3562
Country : US
Telephone Number : 763-227-6010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2010
Last Update Date : 06/11/2014

Similar Medicare Providers

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Directions to “ JESSICA E BEDFORD LICSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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