Individual
MS. GINA MARIE BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9730 HEALTHWAY DR, BERLIN, MD 21811-1154
(410) 629-0164
(410) 629-0185
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20002
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
09/06/2013
Last updated
10/04/2018
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