License Detail

NameVARDARO BETH L
AddressOCEANSIDENY
ProfessionLICENSED CLINICAL SOCIAL WORK
License No052901
Date of Licensure09/01/04  (OriginallylicensedasaCertifiedSocialWorkeron02/28/96)
Additional QualificationR -Psychotherapy Privilege
StatusREGISTERED
Registered through last day of

Comments