Individual
BETSY JO PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5837 NORTHPOINTE LN, BOYNTON BEACH, FL 33437-2008
(561) 632-5656
Mailing address
5837 NORTHPOINTE LN, BOYNTON BEACH, FL 33437-2008
(561) 632-5656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201966531
TAX ID
FL
Enumeration date
08/21/2009
Last updated
04/27/2011
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