Individual
BETHANY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
515 E MAIN ST, ENDICOTT, NY 13760-5023
(607) 444-3318
Mailing address
515 E MAIN ST, ENDICOTT, NY 13760-5023
(607) 444-3318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127310-01
NY
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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