Individual
MRS. BETHANY MARIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
571 BRAUND ST, ONALASKA, WI 54650-8556
(608) 785-7000
(608) 785-7477
Mailing address
571 BRAUND ST, ONALASKA, WI 54650-8556
(608) 785-7000
(608) 785-7477
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131100-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131100-121
APSW
WI
Enumeration date
06/25/2018
Last updated
06/25/2018
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