Individual
BETHANY J HUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 479-1800
(727) 479-1248
Mailing address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 479-1800
(727) 479-1248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 11801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW11801
DEPT OF HEALTH
FL
Enumeration date
09/09/2014
Last updated
09/09/2014
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