Individual
MS. BERNICE CHARLENE BEDDOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 5TH AVENUE, FAIRBANKS, AK 99701
(907) 474-0890
(907) 474-3621
Mailing address
215 INA STREET, FAIRBANKS, AK 99701
(907) 474-0890
(907) 474-3621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
330
AK
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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