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Organization

WESTERN NEW YORK LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC

Active
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Organization

WESTERN NEW YORK LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC

Active
Other names
WNY LCSW Services PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY B. MAZOUREK LCSW-R (OWNER/FOUNDER)
(716) 628-5296
Entity
Organization

Contact information

Practice address
300 N. FOREST RD., STE #S256, WILLIAMSVILLE, NY 14221-5056
(716) 628-5296
Mailing address
223 COTTONWOOD DRIVE, WILLIAMSVILLE, NY 14221-1608
(716) 628-5296

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—

Other

Enumeration date
03/13/2023
Last updated
03/13/2023
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