Individual
MR. SPENCER BROOKS BEDWELL
Active
Individual
MR. SPENCER BROOKS BEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0103951
NM
1041C0700X
Clinical Social Worker
C-08275
NM
1041C0700X
Clinical Social Worker
Primary
M-07294
NM
Other
Enumeration date
03/26/2007
Last updated
07/01/2021
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