Individual
MS. BETHANY R GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1016 MISSISSIPPI AVE UNIT 102, LAKELAND, FL 33803-1378
(863) 838-5097
Mailing address
1016 MISSISSIPPI AVE UNIT 102, LAKELAND, FL 33803-1378
(863) 838-5097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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