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1235218330
MARK WERNER EDSON
CHEEKTOWAGA, NY
NPI
1235218330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY PR019181-1)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
Mr. MARK WERNER EDSON L.C.S.W. - R
2470 WALDEN AVE
CHEEKTOWAGA, NY 14225-4751
Phone number: 716-681-5718
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Mailing Address
Mr. MARK WERNER EDSON L.C.S.W. - R
545 KINGS HWY
BUFFALO, NY 14226-4543
Phone number: 716-839-4545
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