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1366806499
MIRANDA NELLIS
BUFFALO, NY
NPI
1366806499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 096832)
Enumeration Date
2016-04-05
Last Update Date
2021-03-19
Business Address
MIRANDA NELLIS
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: 716-831-2700
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Mailing Address
MIRANDA NELLIS
55 DODGE RD
GETZVILLE, NY 14068-1205
Phone number: 716-831-2700
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