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1891868162
PATRICK MACKENNA
BUFFALO, NY
NPI
1891868162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 20011)
Enumeration Date
2006-11-16
Last Update Date
2011-01-24
Business Address
-- PATRICK MACKENNA CASAC-T
425 MICHIGAN AVE
BUFFALO, NY 14203-2209
Phone number: 716-848-2000
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Mailing Address
-- PATRICK MACKENNA CASAC-T
425 MICHIGAN AVE
BUFFALO, NY 14203-2209
Phone number: 716-848-2000
Copy
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