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Organization
JENNIFER MANCUSO URBAN LCSW PLLC
Active
Organization
JENNIFER MANCUSO URBAN LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M URBAN LCSW-R (OWNER)
(716) 639-0016
Entity
Organization
Contact information
Practice address
1360 N FOREST RD, SUITE 102, WILLIAMSVILLE, NY 14221-1200
(716) 639-0016
Mailing address
11 SOLDIER WOOD CIR, ORCHARD PARK, NY 14127-4855
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R057766-1
NY
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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