Organization
PHYLLIS J. BETTS, LCSW-C, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS JANE BETTS LCSW-C (SOCIAL WORKER/THERAPIST)
(301) 980-5573
Entity
Organization
Contact information
Practice address
13704 BEAUWICK CT, SILVER SPRING, MD 20906-3005
(301) 980-5573
Mailing address
13704 BEAUWICK CT, SILVER SPRING, MD 20906-3005
(301) 980-5573
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13435
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063855200
—
MD
Enumeration date
01/26/2017
Last updated
01/26/2017
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