Individual
BETHANY KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 N BAYOU RD, CLEVELAND, MS 38732-9750
(662) 719-8898
Mailing address
1670 N BAYOU RD, CLEVELAND, MS 38732-9750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M8102
MS
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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