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Organization
MOBILE COUNSELING OF NEW YORK LCSW, PLLC
Active
Organization
MOBILE COUNSELING OF NEW YORK LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINO ELIZONDO LCSW-R (OWNER)
(716) 302-4545
Entity
Organization
Contact information
Practice address
52 WOODSTREAM DR, GRAND ISLAND, NY 14072-1485
(716) 302-4545
Mailing address
52 WOODSTREAM DR, GRAND ISLAND, NY 14072-1485
(716) 302-4545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
03/12/2020
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