Individual
BETHANN WHITFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 LEEDS DR, SPRINGFIELD, IL 62702-3462
(217) 503-9989
Mailing address
6 LEEDS DR, SPRINGFIELD, IL 62702-3462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149029504
IL
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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