Incise Bethsaida Versailles

NPI #1700568144 in Springfield, Ohio

Provider Information

NPI Number: 1700568144
Entity Type: Individual
Name: Incise Bethsaida Versailles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 4, 2023
Last Updated: Aug 4, 2023

Practice Location

Address: 3454 FOLK REAM RD LOT 191
City: Springfield
State: Ohio
ZIP Code: 45502-6604
Phone: (937) 342-6557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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