Individual
MISS ALISA JANE PUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 PINE AVE, NIAGARA FALLS, NY 14301-2232
(716) 505-1060
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 505-1060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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