Individual
BROOKE MARIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 HOPKINS RD, AMHERST, NY 14221-4641
(716) 539-5255
Mailing address
19 HOPKINS RD, AMHERST, NY 14221-4641
(716) 539-5255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
06/08/2024
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