Individual
MISS AILSA MARINA FORLENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113458
NY
Other
Enumeration date
05/31/2020
Last updated
08/18/2021
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