Individual
MRS. BETHANY ANN RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
106 MEMORIAL PKWY, UTICA, NY 13501-4818
(315) 368-6767
(315) 792-2187
Mailing address
2391 SKYLINE DR, ORISKANY FALLS, NY 13425-3621
(315) 404-5021
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
083189-1
NY
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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