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NPI Code Detail

MEDICARE: BETH A STRATTON LCSW

MEDICARE: BETH A STRATTON LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker063638NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649226390
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH A STRATTON LCSW
Provider Business Mailing Address
First Line : 976 HORNBY RD
Second Line :
City : BEAVER DAMS
State : NY
Zip : 14812-9747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 S PERRY ST
Second Line : STE 4
City : WATKINS GLEN
State : NY
Zip : 14891-1615
Country : US
Telephone Number : 607-535-8282
Fax Number : 607-535-8284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 07/08/2007

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Directions to “ BETH A STRATTON LCSW” Practice Location

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