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Individual

MS. MARYLOU GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
951 NIAGARA STREET, LOWER WEST SIDE COUNSELING, BUFFALO, NY 14213
(716) 884-0700
(716) 884-0631
Mailing address
951 NIAGARA STREET, LOWER WEST SIDE COUNSELING, BUFFALO, NY 14213
(716) 884-0700
(716) 884-0631

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/06/2007
Last updated
01/10/2011
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