Individual
TANIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 FRANKLIN ST, BUFFALO, NY 14202-1932
(716) 852-1117
(716) 852-1110
Mailing address
254 FRANKLIN ST, BUFFALO, NY 14202-1932
(716) 852-1117
(716) 852-1110
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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