Individual
MS. BETH GRETENCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSP
Contact information
Practice address
914 SOUTH ST, LAFAYETTE, IN 47901-1416
(765) 742-7800
Mailing address
111 N NEW YORK ST, REMINGTON, IN 47977-8782
(219) 208-1506
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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