Individual
ABENA BEDIAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
113 MURRAY HILL DR, DURHAM, NC 27712-3063
(919) 672-0712
(888) 806-1537
Mailing address
PO BOX 11354, DURHAM, NC 27703-0354
(919) 672-0712
(888) 806-1537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005909
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106834
—
NC
Enumeration date
01/07/2008
Last updated
12/08/2009
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