Provider Information for 1154822757
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Ms. BETHANY MARIE SHREWSBURY Sr. LPC
Sex: Female
NPI: 1154822757
Last Updated: 2023-05-11
Certification Date: 2023-05-10
Certification Date: 2023-05-10
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1154822757 | ||||||||||||||||||||
| Enumeration Date | 2018-02-28 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 821 MARIMBA DR EL PASO, TX 79912-4922 United States Phone: 915-479-2168 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 250 THUNDERBIRD DR STE 5 EL PASO, TX 79912-3915 United States Phone: 915-307-7598 | Fax:915-975-8223 | ||||||||||||||||||||
| Secondary Practice Address(es) | 821 MARIMBA DR | ||||||||||||||||||||
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