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1124366505
R KEVIN DOUGLAS
FISHKILL, NY
NPI
1124366505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 73 080102)
Enumeration Date
2013-01-20
Last Update Date
2013-01-20
Business Address
-- R KEVIN DOUGLAS LCSW CASAC
1073 MAIN ST STE 202A
FISHKILL, NY 12524-3513
Phone number: 914-475-4083
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Mailing Address
-- R KEVIN DOUGLAS LCSW CASAC
1073 MAIN ST STE 202A
FISHKILL, NY 12524-3513
Phone number: 914-475-4083
Copy
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