Individual
MARISSA FASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 HARLEM RD, WEST SENECA, NY 14224-1892
(716) 821-7000
Mailing address
355 HARLEM RD, WEST SENECA, NY 14224-1892
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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