Individual
MS. BETHANY ROSE EAKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9205 INVERNESS DR, ROWLETT, TX 75089-9594
(214) 316-9089
Mailing address
9205 INVERNESS DR, ROWLETT, TX 75089-9594
(214) 316-9089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50981
TX
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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