Individual
BETHANY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 GENESEE ST, ROCHESTER, NY 14611-3201
(585) 315-0875
Mailing address
55 GENESEE ST, ROCHESTER, NY 14611-3201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107505
NY
Other
Enumeration date
11/06/2019
Last updated
07/15/2021
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