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Individual

KRISTEN N SZALACH-CAVANAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA, LMT

Contact information

Practice address
1384 UNION RD., WEST SENECA, NY 14224
(716) 863-6822
Mailing address
1384 UNION RD., WEST SENECA, NY 14224
(716) 863-6822

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
172M00000X
Mechanotherapist
Primary
27 027469
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46-4291762
SOLE PROPRIETOR
NY
Enumeration date
09/24/2008
Last updated
03/03/2014
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