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Individual

BIANCA SCOTT-MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9699
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9699

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/01/2018
Last updated
10/01/2018
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