Individual
MRS. AMY M. WISNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4324
Mailing address
3415 DICKENS RD, BLASDELL, NY 14219-2220
(716) 984-9615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
066624
NY
1041C0700X
Clinical Social Worker
Primary
078635-1
NY
Other
Enumeration date
07/18/2006
Last updated
01/03/2013
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