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1508138777
MARY JO GERVASE
BUFFALO, NY
NPI
1508138777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY ro47007-1)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
-- MARY JO GERVASE LCSW-R
311 WOODWARD AVE
BUFFALO, NY 14214-1961
Phone number: 716-838-0614
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Mailing Address
-- MARY JO GERVASE LCSW-R
311 WOODWARD AVE
BUFFALO, NY 14214-1961
Phone number: 716-838-0614
Copy
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