Individual
MRS. BETHANY JOY RANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
9315 TELEGRAPH ROAD, REDORD, MI 48239
(734) 516-0422
Mailing address
9315 TELEGRAPH ROAD, REDFORD, MI 48239
(734) 516-0422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095445
MI
Other
Enumeration date
03/25/2016
Last updated
03/09/2022
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