Individual
KELLY J BETSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
Mailing address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
07/07/2020
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