Individual
CAROL J CREIGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1837 HERTEL AVE, BUFFALO, NY 14216-3006
(716) 834-0990
(716) 834-5116
Mailing address
1837 HERTEL AVE, BUFFALO, NY 14216-3006
(716) 834-0990
(716) 834-5116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR011345-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000500044001
HEALTH NOW
NY
Enumeration date
09/08/2005
Last updated
08/09/2012
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