Individual
MS. BETHANIE SUE WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5380 GULF OF MEXICO DR STE 105, LONGBOAT KEY, FL 34228-2048
(469) 475-1650
Mailing address
5380 GULF OF MEXICO DR, STE 105, LONGBOAT KEY, FL 34228-2048
(469) 475-1650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
51236
TX
1041C0700X
Clinical Social Worker
Primary
SW15295
FL
Other
Enumeration date
08/19/2013
Last updated
09/24/2019
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