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1184809022
KIMBERLY STANDFAST
WOODSIDE, NY
NPI
1184809022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 089664)
Enumeration Date
2008-01-09
Last Update Date
2023-02-23
Business Address
MS. KIMBERLY STANDFAST LCSW
6120 WOODSIDE AVE
WOODSIDE, NY 11377-3557
Phone number: 718-779-1234
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Mailing Address
MS. KIMBERLY STANDFAST LCSW
193 N COUNTRY RD
SMITHTOWN, NY 11787-2104
Phone number: 631-805-7304
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