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Individual
BETHANY VROOM
Active
Individual
BETHANY VROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2015016657
MO
1041C0700X
Clinical Social Worker
Primary
2618
KS
1041C0700X
Clinical Social Worker
LCPC
KS
Other
Enumeration date
03/16/2016
Last updated
09/29/2024
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