Individual
HILLARY M. BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17615 SW 97TH AVE, 2ND FLOOR, PALMETTO BAY, FL 33157-5636
(786) 624-2679
(786) 268-1748
Mailing address
17615 SW 97TH AVE, 2ND FLOOR, PALMETTO BAY, FL 33157-5636
(786) 624-2679
(786) 268-1748
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003069500
—
FL
05
—
767147400
—
FL
Enumeration date
01/31/2007
Last updated
04/07/2015
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