Individual
BETHANY BALLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 WISCONSIN AVE NW, WASHINGTON, DC 20016-4627
(202) 450-1429
Mailing address
1636 ROSEDALE ST NE, WASHINGTON, DC 20002-4526
(240) 433-2133
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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