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1326177908
BETHANY EZELL
MADISON, TN
NPI
1326177908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW0000004896)
Enumeration Date
2007-03-02
Last Update Date
2008-04-29
Business Address
-- BETHANY EZELL LCSW
620 GALLATIN PIKE S
MADISON, TN 37115-4013
Phone number: 615-460-4300
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Mailing Address
-- BETHANY EZELL LCSW
620 GALLATIN PIKE S
MADISON, TN 37115-4013
Phone number: 615-460-4300
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