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1174951925
EVAN RAFFERTY
SETAUKET, NY
NPI
1174951925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-10-14
Last Update Date
2013-10-14
Business Address
-- EVAN RAFFERTY
13 THOMPSON HAY PATH
SETAUKET, NY 11733-1317
Phone number: 631-751-0197
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Mailing Address
-- EVAN RAFFERTY
1394 ACKERSON BLVD
BAY SHORE, NY 11706-3848
Phone number: 631-398-6920
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