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Individual

BETHANY MOORE POLK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
3016 GREENSHIRE DR, SCHERTZ, TX 78154-3708
(254) 289-7783

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
66357
TX

Other

Enumeration date
06/24/2024
Last updated
04/01/2025
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