Individual
MR. SAMUEL BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LISW-CP
Contact information
Practice address
7 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(270) 543-8988
Mailing address
7 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(270) 543-8988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12619
SC
1041C0700X
Clinical Social Worker
2013035402
MO
Other
Enumeration date
11/04/2014
Last updated
08/01/2022
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