Individual
BETHANY ANN KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
(989) 631-3343
Mailing address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
(989) 631-3343
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802067872
MI
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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