Canonical ID: us-medmo-d8835389efc763ade65e5e08ed1418067995d100
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_mo_med_exclusions | us-medmo-d8835389efc763ade65e5e08ed1418067995d100 | |||
LegalEntity:description | License number: 1694 | eng | us_mo_med_exclusions | us-medmo-d8835389efc763ade65e5e08ed1418067995d100 | |||
LegalEntity:id | d9ca865cf55fa58498c7426bd385fa0f2934c774 | eng | us_mo_med_exclusions | us-medmo-d8835389efc763ade65e5e08ed1418067995d100 | |||
LegalEntity:name | BERTHELOT, BETTY J | eng | us_mo_med_exclusions | us-medmo-d8835389efc763ade65e5e08ed1418067995d100 | |||
LegalEntity:npiCode | 1437204112 | eng | us_mo_med_exclusions | us-medmo-d8835389efc763ade65e5e08ed1418067995d100 | |||
LegalEntity:sector | 49- LICENSED PROFESSIONAL COUNSELOR | eng | us_mo_med_exclusions | us-medmo-d8835389efc763ade65e5e08ed1418067995d100 | |||
LegalEntity:topics | debarment | eng | us_mo_med_exclusions | us-medmo-d8835389efc763ade65e5e08ed1418067995d100 |