Individual
ERICA MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
463 WILLIAM STREET, BUFFALO, NY 14204-1811
(716) 893-0062
Mailing address
1526 WALDEN AVENUE, SUITE 400, CHEEKTOWAGA, NY 14225-4985
(716) 895-6700
(716) 332-4488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
08/28/2008
Last updated
05/04/2011
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