Individual
MS. TARA MARIE AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CAS
Contact information
Practice address
51 ST JOHNS PARKSIDE, BUFFALO, NY 14210-2515
(716) 828-9560
(716) 828-9460
Mailing address
61 MCKINLEY AVE, APT A, WILLIAMSVILLE, NY 14221-7134
(716) 353-1194
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
433781101
NY
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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