Individual
BETHANY BESAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 HEATHERMOOR LN, O FALLON, MO 63368-7232
(636) 233-1261
Mailing address
7425 HEATHERMOOR LN, O FALLON, MO 63368-7232
(636) 233-1261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010006754
MO
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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