Individual
MISS MOLLY L VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 WALDEN AVE, CHEEKTOWAGA, NY 14225-4965
(716) 895-7168
Mailing address
1526 WALDEN AVE, CHEEKTOWAGA, NY 14225-4965
(716) 895-7168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
10/10/2014
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