Individual
BRITTANY BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
705 HARRISON ST, LA PORTE, IN 46350-3417
(219) 229-0109
Mailing address
705 HARRISON ST, LA PORTE, IN 46350-3417
(219) 229-0109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008228A
IN
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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