Individual
MS. BETTY JONE MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5189 HOSPITAL RD, MARIPOSA, CA 95338-9524
(209) 966-3631
(209) 966-8438
Mailing address
4684 MORNING STAR LN, MARIPOSA, CA 95338-9361
(209) 966-7540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS#12379
CA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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