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1972038776
MARISSA DESIDERIO
AMHERST, NY
NPI
1972038776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 083456)
Enumeration Date
2017-04-29
Last Update Date
2022-12-16
Business Address
MARISSA DESIDERIO LCSW
4955 N BAILEY AVE STE 108
AMHERST, NY 14226-1206
Phone number: 716-427-2071
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Mailing Address
MARISSA DESIDERIO LCSW
215 PARKDALE AVE UPPR
BUFFALO, NY 14213-1428
Phone number: 716-316-3455
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