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Individual

AMIE LYNN WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6395 OLD NIAGARA RD, LOCKPORT, NY 14094-1421
(716) 433-9592
Mailing address
1283 NASH RD, NORTH TONAWANDA, NY 14120-2339
(716) 418-4458

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64051
NY

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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