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NPI Code Detail

MEDICARE: BETHANY MILLWARD LSW

MEDICARE:   BETHANY  MILLWARD  LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerLSW.0009926452CO

General Provider Information

NPI Number : 1447123922
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY MILLWARD LSW
Provider Business Mailing Address
First Line : 1125 N 25TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501
Country : US
Telephone Number : 970-235-4066
Fax Number :
Provider Business Practice Location Address
First Line : 1150 N 25TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-6594
Country : US
Telephone Number : 970-235-4066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2025
Last Update Date : 09/29/2025

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Directions to “ BETHANY MILLWARD LSW” Practice Location

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