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Organization
GLOWING EMBER LCSW PLLC
Active
Organization
GLOWING EMBER LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN BAVISOTTO LCSW (LCSW)
(716) 218-9512
Entity
Organization
Contact information
Practice address
522 FRANKLIN ST, BUFFALO, NY 14202-1122
(716) 218-9512
Mailing address
522 FRANKLIN ST, BUFFALO, NY 14202-1122
(716) 218-9512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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