Individual
BETHANY KLEINHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1301 PLANTATION ISLAND DR S STE 206A, SAINT AUGUSTINE, FL 32080-3111
(904) 420-0580
Mailing address
1513 LOW TIDE LOOP, ST AUGUSTINE, FL 32080-2307
(507) 272-3749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW23706
FL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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