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1164056958
LOGAN ANNE KINGSTON
SOUTHAMPTON, NY
NPI
1164056958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 108466)
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
LOGAN ANNE KINGSTON LMSW
46 MAIN ST
SOUTHAMPTON, NY 11968-4864
Phone number: 631-255-4453
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Mailing Address
LOGAN ANNE KINGSTON LMSW
10 SUNSET LN
WESTHAMPTON BEACH, NY 11978-2041
Phone number: 631-255-4453
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