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1518209568
BETHANN WISE DETWILER
GLEN ALLEN, VA
NPI
1518209568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701005427)
Enumeration Date
2013-03-17
Last Update Date
2013-03-17
Business Address
Ms. BETHANN WISE DETWILER M.A., L.P.C.
5352 TWIN HICKORY RD
GLEN ALLEN, VA 23059-5682
Phone number: 804-592-2793
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Mailing Address
Ms. BETHANN WISE DETWILER M.A., L.P.C.
5352 TWIN HICKORY RD
GLEN ALLEN, VA 23059-5682
Phone number: 804-592-2793
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