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2829 Wehrle Dr Ste 13 Williamsville NY 14221 | |
| (716) 217-9278 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2829 Wehrle Dr Ste 13, Williamsville, New York |
| Authorized Official Name and Position | Nathaniel Charles Hallett (SOLE MEMBER) |
| Authorized Official Contact | 7162179278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2829 Wehrle Dr Ste 13 Williamsville NY 14221-7387 Ph: (716) 217-9278 | 2829 Wehrle Dr Ste 13 Williamsville NY 14221 Ph: (716) 217-9278 |
| NPI Number | 1598471906 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598471906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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