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Organization
WESTERN NEW YORK LICENSED CLINICAL SOCIAL WORK SERVICES PLLC
Active
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
DR. SHIRLEY MAZOUREK (OWNER)
(716) 628-5296
Entity
Organization
Contact information
Practice address
300 N FOREST RD., STE #S258, WILLIAMSVILLE, NY 14221-1608
(716) 628-5296
Mailing address
223 COTTONWOOD DRIVE, WILLIAMSVILLE, NY 14221-1608
(716) 628-5296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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