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Individual

MRS. ANITA A KRUEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1010 MAIN ST., BUFFALO, NY 14202
(716) 898-1671
(716) 898-1311
Mailing address
1010 MAIN STREET, BUFFALO, NY 14202
(716) 898-1671
(716) 898-1311

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
083752-1
NY
104100000X
Social Worker
Primary
0837521
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00838757
NY
Enumeration date
04/06/2009
Last updated
11/20/2014
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