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Certified Provider Details:
| PROVIDER NUMBER: | 490052 |
| AGENCY NAME: | Bethany College |
| CONTACT NAME: | Katherine Shelek-Furbee |
| ADDRESS: | Bethany College Social Work Department |
| CITY: | Bethany |
| STATE: | WV |
| ZIP: | 26032 |
| PHONE: | (304) 829-7189 |
| WEB SITE: | www.bethanywv.edu/socialwork |
| EMAIL ADDRESS: | kfurbee@bethanywv.edu |
| BSW/MSW NAME: | Katherine Shelek-Furbee |
| DUE TO RECERTIFY DATE: | 7/1/2020 |
| COMMENTS: |