Individual
BETHANY RENAE AUBUCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(573) 438-9355
Mailing address
1286 MATTHEWS LN, PARK HILLS, MO 63601-7207
(573) 562-7751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017027968
MO
Other
Enumeration date
11/03/2020
Last updated
02/12/2025
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