Individual
BETHANY WILSON-PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1659 SOUTH BREIEL BLVD, MIDDLETOWN, OH 45044
(513) 424-0921
(513) 424-4810
Mailing address
1659 SOUTH BREIEL BLVD, MIDDLETOWN, OH 45044
(513) 424-0921
(513) 424-4810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-9409
OH
104100000X
Social Worker
I-9409
OH
Other
Enumeration date
05/25/2007
Last updated
04/28/2011
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