Individual
MARY LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 DELAWARE AVE, SUITE 300, BUFFALO, NY 14202-2016
(716) 842-0440
(716) 842-4069
Mailing address
255 DELAWARE AVE, SUITE 300, BUFFALO, NY 14202-2016
(716) 842-0440
(716) 842-4069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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