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Bethany Miracle-Larson, RESIDENT

NPI 1558752626 · on the registry since 2015

Practice

Address
1208 E Churchville Rd Ste 300
Bel Air, MD 21014
Phone
(410) 893-4600
Fax
(410) 995-7846
Organisation at this address
Online Adcc
Ehome Military
Ehome Aftercare
Ehome Counseling
Dawnphillipsddsllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
95

Additional practice sites

  • 7046 Leestone St, Springfield, VA

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland