Individual
BETHANY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
258 1/2 W MONROE ST, BANGOR, MI 49013
(269) 767-4079
Mailing address
258 1/2 W MONROE ST, BANGOR, MI 49013
(269) 767-4079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851115162APP22
MI
Other
Enumeration date
09/28/2022
Last updated
03/20/2023
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