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1689981417
EDO GEORGE VANDER KOOY
BUFFALO, NY
NPI
1689981417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R020068)
Enumeration Date
2010-08-31
Last Update Date
2013-03-02
Business Address
Mr. EDO GEORGE VANDER KOOY LCSW-R
79 UNIVERSITY AVE
BUFFALO, NY 14214-1224
Phone number: 716-838-1914
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Mailing Address
Mr. EDO GEORGE VANDER KOOY LCSW-R
79 UNIVERSITY AVE
BUFFALO, NY 14214-1224
Phone number: 716-838-1914
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