Individual
MS. MARIE BAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 S PARK AVE, LACKAWANNA COUNSELING, LACKAWANNA, NY 14218-1504
(716) 822-2117
(716) 822-8165
Mailing address
254 FRANKLIN ST, LAKE SHORE BEHAVIORAL HEALTH, BUFFALO, NY 14202-1954
(716) 842-0440
(716) 842-4069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
074622-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074622-1
LCSW
NY
Enumeration date
09/07/2007
Last updated
09/07/2007
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