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Individual

MISS CHRISTINE BORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
531 FARBER LAKES DR STE 201, WILLIAMSVILLE, NY 14221-5773
(716) 632-5450
Mailing address
106 CANTERBURY CT, BUFFALO, NY 14221-6660
(716) 730-1320

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103394-1
NY

Other

Enumeration date
10/14/2020
Last updated
10/14/2020
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