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1710146956
MARISA N SHEPHERD
BUFFALO, NY
NPI
1710146956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-06-03
Last Update Date
2008-06-03
Business Address
Ms. MARISA N SHEPHERD CASAC
699 HERTEL AVE
BUFFALO, NY 14207-2341
Phone number: 716-831-1977
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Mailing Address
Ms. MARISA N SHEPHERD CASAC
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: 716-831-1800
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