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1225756315
BRENDAN MACKINNON
BUFFALO, NY
NPI
1225756315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 39174)
Enumeration Date
2022-08-16
Last Update Date
2024-01-04
Business Address
BRENDAN MACKINNON
2412 SENECA ST
BUFFALO, NY 14210-2662
Phone number: 716-566-6507
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Mailing Address
BRENDAN MACKINNON
227 THORN AVE
ORCHARD PARK, NY 14127-2600
Phone number: 716-662-2040
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