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Organization
KALEIDOSCOPE LIVING
Active
Organization
KALEIDOSCOPE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE L JORDAN LCSW (OWNER)
(716) 906-7585
Entity
Organization
Contact information
Practice address
425 SAINT LAWRENCE AVE LOWR, BUFFALO, NY 14216-1418
(716) 906-7585
Mailing address
425 SAINT LAWRENCE AVE LOWR, BUFFALO, NY 14216-1418
(716) 906-7585
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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