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Individual

ALAN B. BEARMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
120 WAYLAND AVE, SUITE 1, PROVIDENCE, RI 02906-4318
(401) 709-9497
(401) 709-3776
Mailing address
92 EDGEHILL RD, PROVIDENCE, RI 02906-1929
(401) 861-9255
(401) 709-3776

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00683
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3889-8
PSYCHOTHERAPIST
PR
01
408804
PSYCHOTHERAPIST
RI
01
62-70250
PSYCHOTHERAPIST
RI
Enumeration date
08/10/2006
Last updated
07/08/2007
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