Individual
MS. ANN MARIE CUSELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
142 BIDWELL PKWY, BUFFALO, NY 14222-1164
(716) 822-3633
Mailing address
122 DENSMORE ST, BUFFALO, NY 14220-2537
(716) 822-3633
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000380-1
NY
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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