Individual
DR. BETH ILENE FORHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW DSW
Contact information
Practice address
267 E MAIN ST, BUILDING B, SMITHTOWN, NY 11787
(631) 361-6633
Mailing address
267 E MAIN ST, SMITHTOWN, NY 11787
(631) 361-6633
(631) 584-2341
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSWPR0192481
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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