Individual
MR. CHARLES JOSEPH PETKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
211 COVINGTON DR, BUFFALO, NY 14220-2811
(716) 935-9783
Mailing address
211 COVINGTON DR, BUFFALO, NY 14220-2811
(716) 935-9783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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