Individual
BETH BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
24 HYDE CT, QUEENSBURY, NY 12804-6425
(518) 421-9217
Mailing address
24 HYDE CT, QUEENSBURY, NY 12804-6425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
040056
NY
Other
Enumeration date
12/12/2015
Last updated
12/12/2015
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