Individual
MS. ALICIA MARIE WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3350 MAIN STREET, BUFFALO, NY 14214
(716) 835-7807
(716) 835-3963
Mailing address
3350 MAIN STREET, BUFFALO, NY 14214
(716) 835-7807
(716) 835-3963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071855-1
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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