Individual
MRS. BETH SANDRA MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWR
Contact information
Practice address
617 TWIN ARCH RD., ROCK TAVERN, NY 12575-5324
(845) 427-9049
(845) 427-2704
Mailing address
617 TWIN ARCH RD., ROCK TAVERN, NY 12575-5324
(845) 427-9049
(845) 427-2704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0285761
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053456
GHI BILLING VALUE OPTIONS
NY
01
—
124044
EMPIRE PLAN VALUE OPTIONS
NY
Enumeration date
01/17/2007
Last updated
07/08/2007
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