Individual
MS. BRANDI L PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 862-3105
Mailing address
47 WILLOW GREEN DR, AMHERST, NY 14228-3421
(716) 691-4463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074734
NY
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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