Individual
MS. ANNIE LORAINE COBURN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW R
Contact information
Practice address
315 ALBERTA DRIVE, SUITE 211, AMHERST, NY 14226
(716) 837-6705
(716) 837-6705
Mailing address
315 ALBERTA DRIVE, SUITE 211, AMHERST, NY 14226
(716) 837-6705
(716) 837-6159
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0670431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026954701
UNIVERA
—
01
—
000590324002
BLUE CROSS
—
01
—
6212767
INDEPENDENT HEALTH
—
Enumeration date
11/22/2006
Last updated
07/08/2007
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