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1023286077
KELLY KOWALEK
MASSAPEQUA, NY
NPI
1023286077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 067718-1)
Enumeration Date
2008-02-12
Last Update Date
2008-02-12
Business Address
MS. KELLY KOWALEK LMSW
75 GRAND AVE
MASSAPEQUA, NY 11758-4905
Phone number: 516-799-3203
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Mailing Address
MS. KELLY KOWALEK LMSW
2157 WANTAGH PARK DR
WANTAGH, NY 11793-4100
Phone number:
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