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Individual

BETHANY BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
607 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(270) 881-9551
(270) 885-5871
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
07/06/2016
Last updated
03/29/2018
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