Individual
BETTY C ETZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4515 BRAMBLETON AVE, STE B, ROANOKE, VA 24018-3436
(540) 777-6807
(540) 777-6809
Mailing address
3501 LOBLOLLY LN SW, ROANOKE, VA 24018-1324
(540) 309-3468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001346
VA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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