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Individual

JOSEPH BURTON NOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHC-P

Contact information

Practice address
1526 WALDEN AVE STE 400, CHEEKTOWAGA, NY 14225-4985
(716) 895-6700
(716) 895-0436
Mailing address
86 PALM ST, LACKAWANNA, NY 14218-2028
(716) 507-5526

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X

Other

Enumeration date
05/10/2023
Last updated
05/10/2023
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