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Individual

BETHANY DAVIS BLIZARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-A

Contact information

Practice address
161 WALKER ST, COLUMBUS, NC 28722-9433
(828) 894-2222
(828) 894-2229
Mailing address
220 5TH AVE E, HENDERSONVILLE, NC 28792-4377
(828) 692-4289
(828) 696-1794

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P018079
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P018079
LCSWA
NC
Enumeration date
11/01/2022
Last updated
03/09/2023
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