Most Relevant Information
Provider Data
| NPI Number: | 1003264805 |
| Provider Name: | TRACI L BENDER LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 077550 |
Most Important Dates
| Enumeration Date: | 06/02/2016 |
| Last Updated: | 06/02/2016 |
Provider Practice Location
155 LAWN AVE
SUITE 100
BUFFALO
NY
142071816
Practice Location Phone/Fax
| Phone: | 7168752904 |
| Fax: | 7168756717 |
Provider Mailing Location
155 LAWN AVE
SUITE 100
BUFFALO
NY
142071816
Provider Mailing Phone/Fax
| Phone: | 7168752904 |
| Fax: | 7168756717 |