Individual
KENYETTA SHANTEL OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
291 ELM ST, BUFFALO, NY 14203-1621
(716) 854-2444
Mailing address
120 W STATE ST APT 1, ALBION, NY 14411-1334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
03/18/2026
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