Individual
BETHANY ANNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1126 E. HWY WW, MARSHALL, MO 65340
(660) 886-2253
(660) 886-6601
Mailing address
1126 E. HWY WW, MARSHALL, MO 65340
(660) 886-2253
(660) 886-6601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1999137996
MO
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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