Individual
MS. DIANE E MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1370 NIAGARA FALLS BLVD, TONAWANDA, NY 14150-8441
(716) 833-3708
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4813
NY
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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