Individual
AMANI A MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
117 GROVELAND ST, BUFFALO, NY 14214-1013
(716) 465-1005
Mailing address
117 GROVELAND ST, BUFFALO, NY 14214-1013
(716) 465-1005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
093056
NY
Other
Enumeration date
04/23/2018
Last updated
09/18/2024
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