Individual
CONNIE PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
327 PARKER AVE, BUFFALO, NY 14216-2105
(716) 912-2130
Mailing address
327 PARKER AVE, BUFFALO, NY 14216-2105
(716) 912-2130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2596406
NY
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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