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Individual

MISS MADALENE MARY STAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS NCC LPC LMHC

Contact information

Practice address
206 S ELMWOOD AVE, BUFFALO, NY 14201-2398
(716) 847-2441
(716) 847-0337
Mailing address
423 TRAVERSE BLVD, BUFFALO, NY 14223-1130
(716) 876-6501

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001180-1
NY
101YP2500X
Professional Counselor
Primary
PRC 531
DC

Other

Enumeration date
03/02/2007
Last updated
09/11/2025
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