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Individual

CARLOS RAYMUNDO CHAVEZ RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NON-COUNSELOR

Contact information

Practice address
1412 SWEET HOME RD. SUITE 3-5, BUFFALO, NY 14228
(716) 884-0700
(716) 884-0631
Mailing address
1412 SWEET HOME RD, BUFFALO, NY 14228-2795
(716) 589-1411
(716) 276-3051

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P13798
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/24/2017
Last updated
11/18/2021
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