Individual
JENNIFER BEDSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, CAPSW, WMTR
Contact information
Practice address
245 N METRO DR, APPLETON, WI 54913-8572
(920) 903-1009
Mailing address
245 N METRO DR, APPLETON, WI 54913-8572
(920) 903-1009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
134510-121
WI
225A00000X
Music Therapist
Primary
13558
—
Other
Enumeration date
10/10/2019
Last updated
11/05/2024
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