Individual
BETHANY L. KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5410 HOMBERG DR STE 31, KNOXVILLE, TN 37919-5045
(865) 330-0021
(865) 766-0182
Mailing address
5410 HOMBERG DR STE 31, KNOXVILLE, TN 37919-5045
(865) 330-0021
(865) 766-0182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1121
TN
Other
Enumeration date
01/06/2008
Last updated
01/06/2008
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