Ms Laurel Bedore, LMSW | |
389 W Otis Ave, Hazel Park, MI 48030-1730 | |
(989) 325-1287 | |
Not Available |
Full Name | Ms Laurel Bedore |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 389 W Otis Ave, Hazel Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285267039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801097181 (Michigan) | Primary |
Entity Name | Seniors Wellness Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568419240 PECOS PAC ID: 1951202357 Enrollment ID: O20040119000306 |
Entity Name | Seniors Wellness Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568419240 PECOS PAC ID: 1951202357 Enrollment ID: O20080725000368 |
Mailing Address | Practice Location Address |
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Ms Laurel Bedore, LMSW 389 W Otis Ave, Hazel Park, MI 48030-1730 Ph: (989) 325-1287 | Ms Laurel Bedore, LMSW 389 W Otis Ave, Hazel Park, MI 48030-1730 Ph: (989) 325-1287 |
Terence Woolfork, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 E 8 Mile Rd, Hazel Park, MI 48030 Phone: 313-544-0731 Fax: 313-849-2763 | |
Stephanie Grace Mcgarity, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1142 E 9 Mile Rd, Hazel Park, MI 48030 Phone: 248-817-4742 Fax: 248-518-8719 |