Individual
BETHANY D BREEDEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
704 E HIGHWAY 28, OWENSVILLE, MO 65066-1588
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2021040346
MO
1041C0700X
Clinical Social Worker
Primary
2024001078
MO
Other
Enumeration date
04/05/2022
Last updated
01/16/2024
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