Individual
BETHANY MAE STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
201 E DEBBIE LN, MANSFIELD, TX 76063-2924
(469) 844-1578
Mailing address
201 E DEBBIE LN, MANSFIELD, TX 76063-2924
(469) 844-1578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110475
TX
Other
Enumeration date
06/02/2023
Last updated
06/04/2023
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