Individual
BETHANY JOY HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
11555 W GRAND RIVER AVE, LOWELL, MI 49331-8464
(616) 228-1286
Mailing address
349 CARLTON AVE SE, GRAND RAPIDS, MI 49506-1609
(586) 662-1989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6801106082
MI
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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