KENNETH C GAUGHRAN

PATCHOGUE, NY
NPI1184201634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  111646-01)
Enumeration Date2021-03-29
Last Update Date2021-03-29
Business Address
Mr. KENNETH C GAUGHRAN LMSW
475 E MAIN ST STE 100
PATCHOGUE, NY 11772-3121
Phone number: 631-286-8282
Mailing Address
Mr. KENNETH C GAUGHRAN LMSW
475 E MAIN ST STE 100
PATCHOGUE, NY 11772-3121
Phone number: 631-651-6661
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