Individual
BETHANY HEBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(248) 858-7766
Mailing address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851118273
MI
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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