Individual
ABIGAL J MYSLIVECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
21 WILLOW POND WAY STE 103, PENFIELD, NY 14526-2687
(585) 385-6030
Mailing address
2521 MANITOU RD APT 3, GATES, NY 14624-1177
(585) 406-6141
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114036
NY
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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