Individual
MS. ANDREA M FAZZOLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
73 PAWNEE PKWY, BUFFALO, NY 14210-1815
(716) 816-4770
Mailing address
73 PAWNEE PKWY, BUFFALO, NY 14210-1815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
099686-1
NY
Other
Enumeration date
01/03/2017
Last updated
02/24/2021
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