Individual
STACEY PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3297 BAILEY AVE, BUFFALO, NY 14215-1139
(716) 836-3247
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-1800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/13/2008
Last updated
01/13/2008
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