Individual
BETH MARKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1606 HUNT DR, SPICE OF MARCFIRST, NORMAL, IL 61761-2192
(309) 452-0069
Mailing address
1211 NICKI DR, BLOOMINGTON, IL 61704-2518
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.003560
IL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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