Individual
MS. THERESA BETTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2015031752
MO
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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