Individual
MRS. BETHANY LYN NORTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 774-4932
Mailing address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 774-4932
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
085402
NY
Other
Enumeration date
08/14/2013
Last updated
09/04/2025
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