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1124614995
KAITLYN MCCLINTOCK
CORAM, NY
NPI
1124614995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 111077-01)
Enumeration Date
2020-12-16
Last Update Date
2021-05-20
Business Address
KAITLYN MCCLINTOCK LMSW
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8630
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Mailing Address
KAITLYN MCCLINTOCK LMSW
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8630
Copy
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