Individual
BETHANY TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023005051
MO
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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