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Individual

CHARLES W LIBRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7 COMMUNITY DR, BUFFALO, NY 14225-2523
(716) 505-5630
(716) 892-1936
Mailing address
24 ELAM PL, BUFFALO, NY 14214-1911
(716) 837-9465

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R035026-1
NY

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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