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1154713857
KATHLEEN CELIA TAVERAS
SMITHTOWN, NY
NPI
1154713857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: 10814901)
Enumeration Date
2015-03-04
Last Update Date
2020-01-13
Business Address
KATHLEEN CELIA TAVERAS LMSW
11 ROUTE 111
SMITHTOWN, NY 11787-3754
Phone number: 631-656-9550
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Mailing Address
KATHLEEN CELIA TAVERAS LMSW
11 ROUTE 111
SMITHTOWN, NY 11787-3754
Phone number: 631-656-9550
Copy
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