Individual
BETHANY ANN EDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2555 S DIXIE DR STE 260, DAYTON, OH 45409-1542
(937) 853-9061
Mailing address
897 SHADY LN, BEAVERCREEK TOWNSHIP, OH 45434-7140
(937) 269-5212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1450414
OH
Other
Enumeration date
08/13/2018
Last updated
11/22/2019
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