EDO GEORGE VANDER KOOY

BUFFALO, NY
NPI1689981417
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R020068)
Enumeration Date2010-08-31
Last Update Date2013-03-02
Business Address
Mr. EDO GEORGE VANDER KOOY LCSW-R
79 UNIVERSITY AVE
BUFFALO, NY 14214-1224
Phone number: 716-838-1914
Mailing Address
Mr. EDO GEORGE VANDER KOOY LCSW-R
79 UNIVERSITY AVE
BUFFALO, NY 14214-1224
Phone number: 716-838-1914