National Provider Identifier

Deneen M Garlock, FAMILY PEER SUPPORT

Deneen M Garlock, FAMILY PEER SUPPORT is listed in the NPPES registry with a primary specialty of Community Health Worker in Lackawanna, NY and a listed phone number of (716) 364-7015.

NPI 1083468524Lackawanna, NYCommunity Health Worker

Profile Overview

NPI
1083468524
Provider Type
Individual
Primary Specialty
Community Health Worker
Enumeration Date
April 12, 2024
Last Updated
April 12, 2024

Practice Location

  • 790 Ridge RD
  • Lackawanna, NY 14218-1629

Phone: (716) 364-7015

Specialties

  • Community Health Worker (172V00000X)
Full Record
NPI
1083468524
Entity Type
Individual
Last Name
Garlock
First Name
Deneen
Middle Name
M
Credential
FAMILY PEER SUPPORT
Mailing Street Address
790 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1629
Mailing Country
US
Mailing Phone
(716) 364-7015
Practice Street Address
790 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 364-7015
Enumeration Date
April 12, 2024
Last Updated
April 12, 2024
Sex
Female
Sole Proprietor
No
Certification Date
April 12, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Worker (172V00000X)