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1164732848
KEVAN LARES DONAGHY
SYRACUSE, NY
NPI
1164732848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 081840)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
Mr. KEVAN LARES DONAGHY LMSW
650 MADISON ST SECOND FLOOR
SYRACUSE, NY 13210-2319
Phone number: 315-426-7694
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Mailing Address
Mr. KEVAN LARES DONAGHY LMSW
165 S EDWARDS AVE
SYRACUSE, NY 13206-2912
Phone number: 315-569-0339
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