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1477629715
ANN BOWBACK
BUFFALO, NY
NPI
1477629715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 4977)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
-- ANN BOWBACK CASAC
1235 MAIN STREET MICA
BUFFALO, NY 14209-0424
Phone number: 716-884-5797
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Mailing Address
-- ANN BOWBACK CASAC
PO BOX 631 SPECTRUM HUMAN SERVICES 227 THORN AVE
ORCHARD PARK, NY 14127-0631
Phone number: 716-662-2040
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