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1780330043
ALEXIS MARIE PENA
BUFFALO, NY
NPI
1780330043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-02-25
Last Update Date
2022-02-25
Business Address
ALEXIS MARIE PENA
206 S ELMWOOD AVE
BUFFALO, NY 14201-2398
Phone number: 716-847-2441
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Mailing Address
ALEXIS MARIE PENA
61 HIGHLAND AVE
TONAWANDA, NY 14150-3903
Phone number: 716-573-5086
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