Individual
MS. CHENEY L BROCKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 833-3622
(716) 834-4557
Mailing address
55 DODGE RD, GETZVILLE, NY 14068-1205
(716) 831-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2787
ID
—
Enumeration date
12/13/2019
Last updated
04/28/2021
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