Individual
BRENDA BANACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC
Contact information
Practice address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-1800
(716) 831-1818
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-1800
(716) 831-1818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
056467-1
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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