Glowing Ember Lcsw Pllc

NPI #1194688085 in Buffalo, New York

Provider Information

NPI Number
1194688085
Entity Type
Organization
Organization Name
Glowing Ember Lcsw Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Dec 8, 2025
Last Updated
Dec 8, 2025

Practice Location

Address
522 FRANKLIN ST
ZIP Code
14202-1122
Phone
(716) 218-9512

Authorized Official

Name
MARYANN BAVISOTTO, LCSW
Title
LCSW
Phone
(716) 218-9512

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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