Individual
MS. BETHANY A CZERNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1600 7TH AVE, TROY, NY 12180-3410
(518) 270-2646
Mailing address
3 WALKER AVE APT 8, RENSSELAER, NY 12144-8407
(518) 935-7931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11744601
NY
Other
Enumeration date
03/13/2023
Last updated
03/29/2023
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