Individual
MRS. ALEXIS LUTTRELL-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2128 ELMWOOD AVE, BUFFALO, NY 14207-1910
(716) 874-4500
Mailing address
625 DELAWARE AVE STE 204, BUFFALO, NY 14202-1007
(716) 882-3151
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
085068-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01465154
—
NY
Enumeration date
07/08/2011
Last updated
10/25/2018
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