Individual
MRS. BETHANY ANN SLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
4600 BRETON ROAD SE, SUITE 102, GRAND RAPIDS, MI 49508-5220
(616) 391-9700
(616) 391-9707
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801093350
MI
Other
Enumeration date
11/21/2011
Last updated
05/05/2015
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