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NPI Code Detail

MEDICARE: BEE H. TESSUM LCSW

MEDICARE: BEE H. TESSUM 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 Worker548AK

General Provider Information

NPI Number : 1780613810
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEE H. TESSUM LCSW
Provider Business Mailing Address
First Line : 4201 TUDOR CENTRE DR
Second Line : SUITE #320
City : ANCHORAGE
State : AK
Zip : 99508-5904
Country : US
Telephone Number : 907-729-8624
Fax Number : 907-729-8607
Provider Business Practice Location Address
First Line : 225 EAGLE ST
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-2626
Country : US
Telephone Number : 907-729-8624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 12/20/2012

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Directions to “ BEE H. TESSUM LCSW” Practice Location

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