Individual
MRS. ANDREA BLAKESLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
118 HAMPSHIRE ST, BUFFALO, NY 14213-2014
(716) 816-3160
Mailing address
118 HAMPSHIRE ST, BUFFALO, NY 14213-2014
(716) 816-3160
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72 080757
NY
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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