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Individual

THERESA A BEAUDREAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00502
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1036990
NEIGHBORHOOD HEALTH
01
2785
BLUECROSS BLUESHIELD
RI
01
298567000
MAGELLAN
01
408805
BLUECHIP
RI
01
6254399
UNITED HEALTH
05
TB63105
RI
Enumeration date
03/09/2007
Last updated
05/16/2011
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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