Individual
BETHANY RACKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
304 W WASHINGTON AVE, RICHLAND, MO 65556-7101
(573) 765-5141
Mailing address
304 W WASHINGTON AVE, RICHLAND, MO 65556-7101
(735) 765-5141
(573) 765-3824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008020657
MO
Other
Enumeration date
07/22/2009
Last updated
12/17/2018
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