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Individual

MRS. ANN MARIE BOSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC

Contact information

Practice address
1280 MAIN STREET, BUFFALO, NY 14209
(716) 884-5797
(716) 882-0293
Mailing address
227 THORN AVENUE, ORCHARD PARK, NY 14127
(716) 662-2040
(716) 662-0019

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19817
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19817
CASAC-T
NY
Enumeration date
11/16/2006
Last updated
05/17/2023
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