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Individual

MS. BETHANY JUNE BOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-5551
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-5551

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1500173
OH
261QM0850X
Adult Mental Health Clinic/Center
I1500173
OH

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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