Individual
NAOMI BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 861-5448
Mailing address
404 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 861-5448
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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