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Individual

MS. NANCY BETH MCCULLOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW,CASAC

Contact information

Practice address
80 GOODRICH ST, BUFFALO, NY 14203-1005
(716) 859-2661
(716) 859-3281
Mailing address
80 GOODRICH ST, BUFFALO, NY 14203-1005
(716) 859-2661
(716) 859-3281

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6443
NY

Other

Enumeration date
07/10/2007
Last updated
07/10/2007
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