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1457925398
CIERRA VASTI YOUNG
BUFFALO, NY
NPI
1457925398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 35700)
Enumeration Date
2021-05-15
Last Update Date
2021-05-15
Business Address
CIERRA VASTI YOUNG CASAC-T
1050 NIAGARA ST
BUFFALO, NY 14213-2001
Phone number: 716-856-2587
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Mailing Address
CIERRA VASTI YOUNG CASAC-T
1050 NIAGARA ST
BUFFALO, NY 14213-2001
Phone number: 716-856-2587
Copy
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