Individual
BETHANY BYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 SUPERIOR VIEW LN, NEGAUNEE, MI 49866-9416
(906) 361-0298
Mailing address
115 SUPERIOR VIEW LN, NEGAUNEE, MI 49866-9416
(906) 361-0298
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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