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Individual

ROY RAYMOND GOLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
206 S ELMWOOD AVE, BUFFALO, NY 14201-2398
(716) 847-0315
(716) 541-0653
Mailing address
206 S ELMWOOD AVE, BUFFALO, NY 14201-2398
(716) 847-0315
(716) 541-0653

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
090282
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
090282
LICENSED MASTER SOCIAL WORK
NY
Enumeration date
06/11/2015
Last updated
06/11/2015
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