Individual
MS. BETTY JANE WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1005 N EASTMAN RD, VA CBOC, LONGVIEW, TX 75601-4231
(903) 247-8262
Mailing address
1005 N EASTMAN RD, VA CBOC, LONGVIEW, TX 75601-4231
(903) 247-8262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
54372
TX
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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