Individual
BETHANY J GEORGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
313 E 6TH ST, CLARE, MI 48617-1545
(989) 600-2133
Mailing address
313 E 6TH ST, CLARE, MI 48617-1545
(989) 600-2133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801104741
MI
Other
Enumeration date
06/04/2024
Last updated
01/07/2025
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