Individual
MS. GLORIA ESTHER FUENTES' PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
951 NIAGARA STREET, DRUG & ALCOHOL ABUSE SERVICES ADOLESCENT OUTPATIENT PRG, BUFFALO, NY 14213
(716) 883-5344
(716) 884-1758
Mailing address
254 FRANKLIN STREET, LAKE SHORE BEHAVIORAL HEALTH, INC., BUFFALO, NY 14202
(716) 842-0440
(716) 842-4069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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