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Individual

BILL BEDFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
3490 LEXINGTON AVE N, #205, SHOREVIEW, MN 55126-8074
(651) 486-3808
(651) 486-3858
Mailing address
3490 LEXINGTON AVE N, #205, SHOREVIEW, MN 55126-8074
(651) 486-3808
(651) 486-3858

Taxonomy

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

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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