Individual
ELIZABETH MAE BLEDSOE
Active
Individual
ELIZABETH MAE BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
088003
NY
1041C0700X
Clinical Social Worker
Primary
2022012043
MO
1041C0700X
Clinical Social Worker
34007972A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022012043
MO LCSW LICENSE
MO
Enumeration date
11/13/2017
Last updated
07/21/2022
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