Individual
MS. BETHANY VIOLA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1621 OAK AVE STE B, DAVIS, CA 95616-1000
(916) 525-8600
Mailing address
PO BOX 1981, ELK GROVE, CA 95759-1981
(916) 525-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
71953
CA
Other
Enumeration date
02/01/2008
Last updated
05/28/2023
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