Individual
BETHANY RUTH LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 HILLSIDE AVE, ROCHESTER, NY 14610-2406
(585) 262-8830
Mailing address
85 HILLSIDE AVE, ROCHESTER, NY 14610-2406
(585) 262-8830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080959
NY
Other
Enumeration date
01/25/2012
Last updated
07/01/2020
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