Individual
TRACY GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
262 WOODWARD AVE, KENMORE, NY 14217-1539
(716) 449-4839
Mailing address
262 WOODWARD AVE, KENMORE, NY 14217-1539
(716) 439-4839
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16880
NY
Other
Enumeration date
01/30/2014
Last updated
08/20/2020
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