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1053670208
SHANNON WALSH KUTNER
RIVERHEAD, NY
NPI
1053670208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 077160)
Enumeration Date
2012-05-09
Last Update Date
2012-05-09
Business Address
-- SHANNON WALSH KUTNER LCSW
147 NORTHERN PKWY
RIVERHEAD, NY 11901-2650
Phone number: 631-921-6611
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Mailing Address
-- SHANNON WALSH KUTNER LCSW
147 NORTHERN PKWY
RIVERHEAD, NY 11901-2650
Phone number: 631-921-6611
Copy
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