Individual
REBECCA FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
140 PINE ST, HAMBURG, NY 14075
(716) 646-4991
(716) 646-4990
Mailing address
140 PINE STREET, HAMBURG, NY 14075
(716) 646-4991
(716) 646-4990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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