| Barr Practice Lcsw Pllc | |
|
15 Lasalle Ave Ste 107 Kenmore NY 14217-2641 | |
| (716) 812-0472 | |
| (716) 939-2108 |
| Full Name | Barr Practice Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15 Lasalle Ave Ste 107, Kenmore, New York |
| Authorized Official Name and Position | Shatina Cheree Barr (OWNER) |
| Authorized Official Contact | 7168120472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barr Practice Lcsw Pllc 15 Lasalle Ave Ste 107 Kenmore NY 14217-2641 Ph: (716) 812-0472 | Barr Practice Lcsw Pllc 15 Lasalle Ave Ste 107 Kenmore NY 14217-2641 Ph: (716) 812-0472 |
| NPI Number | 1013415819 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 01/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013415819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 084706 (New York) | Primary |
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