Individual
LISA ANN KILANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 ALBERTA DR STE 110, AMHERST, NY 14226-1813
(716) 204-5925
Mailing address
331 ALBERTA DR STE 110, AMHERST, NY 14226-1813
(716) 204-5925
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1193966
NY
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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