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1063935211
KRISTIN M DORAN
SMITHTOWN, NY
NPI
1063935211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-19
Last Update Date
2017-07-19
Business Address
KRISTIN M DORAN CASAC
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7578
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Mailing Address
KRISTIN M DORAN CASAC
1 CONTINENTAL DR
CENTEREACH, NY 11720-1401
Phone number:
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