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Individual

BRYAN MATTHEW BLUMLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1050 MARYVALE DR, CHEEKTOWAGA, NY 14225-2324
(716) 923-6567
Mailing address
55 GREENWICH DR APT 2, AMHERST, NY 14228-2561

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
098511
NY
1041S0200X
School Social Worker
Primary
100099
NY

Other

Enumeration date
09/09/2018
Last updated
03/26/2025
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