Individual
KATHERINE DZIEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9500
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
114483
NY
1041S0200X
School Social Worker
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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