Provider Demographics
NPI:1336446780
Name:JANES, SALLY R (MSW, CGC)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:R
Last Name:JANES
Suffix:
Gender:F
Credentials:MSW, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 HODGE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-2034
Mailing Address - Country:US
Mailing Address - Phone:716-878-7545
Mailing Address - Fax:716-878-7405
Practice Address - Street 1:140 HODGE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2034
Practice Address - Country:US
Practice Address - Phone:716-878-7545
Practice Address - Fax:716-878-7405
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS