SearchNew York1041C0700X

Mary Jo Gervase, LCSW-R

NPI 1508138777 · on the registry since 2012 · sole proprietor

Practice

Address
311 Woodward Ave
Buffalo, NY 14214
Phone
(716) 838-0614

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York