Individual
BETHANY VENDITUOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1060 PLEASANT ST, NEW BEDFORD, MA 02740-6729
(508) 996-8572
Mailing address
1061 PLEASANT ST, NEW BEDFORD, MA 02740-6728
(508) 996-8572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
02/04/2011
Last updated
12/11/2012
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