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Individual

BETHANY BERITH BICKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1258 HIGH ST, EUGENE, OR 97401-3238
(262) 893-0101
Mailing address
1258 HIGH STREET, EUGENE, OR 97401
(262) 893-0101

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
A4271
OR
1041C0700X
Clinical Social Worker
Primary
L8081
OR

Other

Enumeration date
10/09/2014
Last updated
05/28/2019
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