Individual
MS. BETHANY ROBIN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 409-5232
Mailing address
135 LIBERTY ST UPPR, BATAVIA, NY 14020-3534
(585) 409-5232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100451
NY
Other
Enumeration date
12/10/2019
Last updated
02/04/2025
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