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Bethany Wallace, LCSW
NPI 1003388455 · on the registry since 2018
Practice
- Address
- 4686 Bristol Trace Trl
Fort Worth, TX 76244 - Phone
- (817) 705-1586
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas