Individual
KIMBERLY P RAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 DELAWARE AVE STE 204, BUFFALO, NY 14202-1007
(716) 882-3151
Mailing address
625 DELAWARE AVE STE 204, BUFFALO, NY 14202-1007
(716) 882-3151
(716) 886-4002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
01/28/2020
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