Individual
BEVERLY J GOSTOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
153 W UTICA ST, BUFFALO, NY 14222-2017
(716) 884-7569
(716) 884-4087
Mailing address
5366 THOMPSON RD, CLARENCE, NY 14031-1122
(716) 741-9004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
075620-1
NY
Other
Enumeration date
02/01/2007
Last updated
08/09/2010
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