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Individual

JENNIE BEDSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2625 FAIRWAY DR STE E, FULTON, MO 65251-4023
(573) 642-3239
(573) 642-2214
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8186
(660) 890-8186

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015007555
MO

Other

Enumeration date
07/13/2016
Last updated
07/13/2016
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