Individual
BETHEL L MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 JACKSON ST, ANDERSON, IN 46016-4363
(765) 683-3118
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008191A
IN
Other
Enumeration date
01/19/2018
Last updated
03/25/2025
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