Individual
MRS. BETHANY CARROLL SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1548 SHANNON DR, LEWISVILLE, TX 75077-2438
(972) 839-6372
Mailing address
1548 SHANNON DR, LEWISVILLE, TX 75077-2438
(972) 839-6372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
55348
TX
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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