Individual
BETHANY BLAIRE HALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHCMII, BHWCII, PRSS
Contact information
Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 510-3745
Mailing address
2600 TEALWOOD DR APT 1427, OKLAHOMA CITY, OK 73120-1785
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2018
Last updated
09/17/2019
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