Individual
MR. LUIS STEVEN MAISONET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
255 PORTER AVE, BUFFALO, NY 14201-1051
(716) 816-3220
Mailing address
255 PORTER AVE, BUFFALO, NY 14201-1051
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
NY
Other
Enumeration date
09/08/2020
Last updated
10/10/2020
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