Individual
ELIZABETH N BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
520 HOPE STREET, PROVIDENCE, RI 02906
(401) 276-4000
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01999
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
01
—
1245330646
UBH
RI
05
—
EM61556
—
RI
Enumeration date
09/25/2006
Last updated
01/25/2021
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