| Jennifer Mancuso Urban Lcsw Pllc | |
|
1360 N Forest Rd Suite 102 Williamsville NY 14221-1200 | |
| (716) 639-0016 | |
| Not Available |
| Full Name | Jennifer Mancuso Urban Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1360 N Forest Rd, Williamsville, New York |
| Authorized Official Name and Position | Jennifer M Urban (OWNER) |
| Authorized Official Contact | 7166390016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Mancuso Urban Lcsw Pllc 11 Soldier Wood Cir Orchard Park NY 14127-4855 Ph: () - | Jennifer Mancuso Urban Lcsw Pllc 1360 N Forest Rd Suite 102 Williamsville NY 14221-1200 Ph: (716) 639-0016 |
| NPI Number | 1417304486 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417304486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R057766-1 (New York) | Primary |
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