BETHANY WALLACE

SALEM, OR
NPI1992987754
Former NameBETHANY BUTLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  5807)
Enumeration Date2007-12-03
Last Update Date2025-06-02
Business Address
Ms. BETHANY WALLACE LCSW
2450 LANCASTER DR NE
SALEM, OR 97305-1130
Phone number: 503-783-4004
Mailing Address
Ms. BETHANY WALLACE LCSW
3624 COMMERCIAL ST SE UNIT 4364
SALEM, OR 97302-6712
Phone number: 503-783-4004