Individual
BETHANY GINN RESTREPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
343 4TH AVE APT 11A, BROOKLYN, NY 11215-2724
(646) 640-6864
Mailing address
343 4TH AVE APT 11A, BROOKLYN, NY 11215-2724
(904) 571-0993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
079302
NY
1041C0700X
Clinical Social Worker
Primary
079302-1
NY
Other
Enumeration date
03/24/2009
Last updated
01/23/2021
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