Individual
MS. BETHANY DARE SOUTHERN MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 N ELAM AVE STE 301, GREENSBORO, NC 27403-1142
(336) 832-9800
(336) 832-1369
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C007285
NC
1041C0700X
Clinical Social Worker
Primary
C007285
NC
Other
Enumeration date
10/25/2012
Last updated
08/13/2021
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