Individual
BETHANY REBECCA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
645 N WALNUT AVE, NEW BRAUNFELS, TX 78130-7925
(830) 306-0907
Mailing address
2090 SUNDANCE PKWY APT 6323, NEW BRAUNFELS, TX 78130-0023
(832) 755-2019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
68067
TX
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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