Individual
BETHANY BRYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1777 SENTRY PKWY W STE 300, BLUE BELL, PA 19422-2211
(215) 767-7096
Mailing address
296 MILITIA DR, WAYNE, PA 19087-4663
(610) 999-4426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021256
PA
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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