Individual
ANNA GRACE OTTAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9070 MAIN ST, CLARENCE, NY 14031-1825
(716) 632-3200
Mailing address
9070 MAIN ST, CLARENCE, NY 14031-1825
(716) 632-3200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102730
NY
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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