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Individual

BETHANY KEENAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAMFT

Contact information

Practice address
1426 E 820 N, OREM, UT 84097-5481
(801) 855-6238
Mailing address
1009 S 450 E, OREM, UT 84097-7120
(734) 395-4969

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11923803-3904
UT

Other

Enumeration date
01/15/2021
Last updated
01/15/2021
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