Individual
BETHANY BRANIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
1150 TIOGA RD, BALL, LA 71405-3978
(318) 640-6942
(318) 640-6978
Mailing address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6530
(318) 483-4044
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11729
LA
1041C0700X
Clinical Social Worker
Primary
11729
LA
Other
Enumeration date
07/02/2020
Last updated
07/16/2025
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