Individual
TAKISHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 MAIN ST, BUFFALO, NY 14209-1912
(716) 884-5797
(716) 882-0293
Mailing address
PO BOX 631, ORCHARD PARK, NY 14127-0631
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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