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NPI Code Detail

MEDICARE: BETSY BOND LCSW

MEDICARE: BETSY BOND 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 Worker003151CT

General Provider Information

NPI Number : 1538119359
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETSY BOND LCSW
Provider Business Mailing Address
First Line : 21 WATERVILLE RD
Second Line :
City : AVON
State : CT
Zip : 06001-2097
Country : US
Telephone Number : 860-674-2691
Fax Number : 860-677-6443
Provider Business Practice Location Address
First Line : 21 WATERVILLE RD
Second Line :
City : AVON
State : CT
Zip : 06001-2097
Country : US
Telephone Number : 860-674-2691
Fax Number : 860-677-6443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/08/2007

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Directions to “ BETSY BOND LCSW” Practice Location

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