Individual
BETHANY GRACE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1903419
OH
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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