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NPI Code Detail

MEDICARE: LAURETTA BETE LICSW

MEDICARE:   LAURETTA  BETE  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
1101Y00000XCounselor
21041C0700XClinical Social Worker126414MA

General Provider Information

NPI Number : 1871191478
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURETTA BETE LICSW
Provider Business Mailing Address
First Line : 162 ALEXANDER RD
Second Line :
City : LEYDEN
State : MA
Zip : 01337-9663
Country : US
Telephone Number : 413-695-3063
Fax Number : 413-448-2198
Provider Business Practice Location Address
First Line : 162 ALEXANDER RD
Second Line :
City : LEYDEN
State : MA
Zip : 01337-9663
Country : US
Telephone Number : 413-695-3063
Fax Number : 413-448-2198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2020
Last Update Date : 05/18/2023

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Directions to “ LAURETTA BETE LICSW” Practice Location

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