Individual
MRS. BETHANY M MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17595 S TAMIAMI TRL STE 225, FORT MYERS, FL 33908-4819
(239) 898-0094
(239) 362-2466
Mailing address
17595 S TAMIAMI TRL STE 225, FORT MYERS, FL 33908-4819
(239) 898-0094
(239) 362-2466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15348
FL
Other
Enumeration date
03/04/2021
Last updated
08/19/2021
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