Individual
BETHANY ANNE ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
115 GOLF COURSE RD STE E, LOGAN, UT 84321-5934
(435) 799-5035
(435) 535-3782
Mailing address
115 GOLF COURSE RD STE E, LOGAN, UT 84321-5934
(435) 799-5035
(435) 535-3782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11815018-3502
UT
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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