Most Relevant Information
Provider Data
| NPI Number: | 1003327560 |
| Provider Name: | BETHANY LEMERE RICE LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 28449 |
Most Important Dates
| Enumeration Date: | 10/23/2017 |
| Last Updated: | 12/23/2019 |
Provider Practice Location
5891 CEDAR LAKE RD S
ST LOUIS PARK
MN
554161460
Practice Location Phone/Fax
| Phone: | 2068190957 |
| Fax: |
Provider Mailing Location
5891 CEDAR LAKE RD S
ST LOUIS PARK
MN
554161460
Provider Mailing Phone/Fax
| Phone: | 2068190957 |
| Fax: |