Individual
MRS. BETHANY JOY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2700 E CENTRE AVE, PORTAGE, MI 49002-5500
(269) 760-2083
Mailing address
15829 LOCKE LN, RICHLAND, MI 49083-9403
(269) 760-2083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095369
MI
Other
Enumeration date
10/16/2020
Last updated
11/27/2023
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