Individual
CHERYL G CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 883-9487
Mailing address
219 BRYANT ST, BUFFALO, NY 14222
(716) 833-9487
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
058852
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058852
LICENSE NUMBER
NY
Enumeration date
11/04/2011
Last updated
11/04/2011
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