Individual
BETHANY YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
21095 MATTIE LN APT 308, LEXINGTON PARK, MD 20653-6228
(240) 434-8154
(240) 210-9238
Mailing address
21095 MATTIE LN APT 308, LEXINGTON PARK, MD 20653-6228
(240) 434-8154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23179
MD
Other
Enumeration date
01/05/2019
Last updated
11/20/2023
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