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Individual

BETHANY INK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(408) 646-5396
Mailing address
302 SEVEN SPRINGS WAY APT 116, BRENTWOOD, TN 37027-5466
(408) 646-5396

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
TN

Other

Enumeration date
08/28/2015
Last updated
08/28/2015
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