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1477068807
TANISA BANCROFT-RIVERA
BUFFALO, NY
NPI
1477068807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 013897)
Enumeration Date
2017-12-07
Last Update Date
2023-09-13
Business Address
TANISA BANCROFT-RIVERA
1280 MAIN ST
BUFFALO, NY 14209-1912
Phone number: 716-884-5797
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Mailing Address
TANISA BANCROFT-RIVERA
227 THORN AVE
ORCHARD PARK, NY 14127-2600
Phone number: 716-662-2040
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