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1205324621
JENNA RAPHAEL
BUFFALO, NY
NPI
1205324621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 091533)
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
JENNA RAPHAEL
206 S ELMWOOD AVE
BUFFALO, NY 14201-2398
Phone number: 716-847-0212
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Mailing Address
JENNA RAPHAEL
206 S ELMWOOD AVE
BUFFALO, NY 14201-2398
Phone number: 716-847-0212
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