Individual
BETHANY ANNE CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 DUNAWAY ST APT 6, MIAMISBURG, OH 45342-3881
(937) 728-5918
Mailing address
1133 DUNAWAY ST APT 6, MIAMISBURG, OH 45342-3881
(937) 728-5918
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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