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1396832762
GLENN A MRGICH
BUFFALO, NY
NPI
1396832762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-10-06
Last Update Date
2013-09-12
Business Address
-- GLENN A MRGICH BA CASAC
1280 MAIN ST
BUFFALO, NY 14209-1912
Phone number: 716-583-8503
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Mailing Address
-- GLENN A MRGICH BA CASAC
227 THORN AVE PO BOX 631
ORCHARD PARK, NY 14127-2600
Phone number: 716-662-2040
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