Stephen Rex Brethauer, LCSW

NPI #1356411425 in Wray, Colorado

Provider Information

NPI Number
1356411425
Entity Type
Individual
Name
Stephen Rex Brethauer, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Nov 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
123 E 4TH ST
City
Wray
ZIP Code
80758-1716
Phone
(970) 332-4555

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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