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Individual
RONALD PETER BELLOWS
Active
Individual
RONALD PETER BELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-24750
NC
104100000X
Social Worker
13077
SC
1041C0700X
Clinical Social Worker
Primary
C014182
NC
1041C0700X
Clinical Social Worker
P013574
NC
Other
Enumeration date
06/25/2019
Last updated
11/01/2021
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