Individual
MS. CAROL ANN PETER-TABONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5144 SHERIDAN DR, WILLIAMSVILLE, NY 14221-4648
(716) 204-8697
(716) 580-3657
Mailing address
67 NORTH DRIVE, AMHERST, NY 14226
(716) 837-6436
(716) 837-6436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
023291
NY
Other
Enumeration date
03/28/2007
Last updated
03/25/2015
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