Individual
SIOBHAN SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76 W HUMBOLDT PKWY, BUFFALO, NY 14214-2605
(716) 835-9745
Mailing address
741 DELAWARE AVE, BUFFALO, NY 14209-2201
(716) 218-1400
(716) 332-2820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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