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1194415489
KELVIN BANEGAS
NEW YORK, NY
NPI
1194415489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-10
Last Update Date
2023-05-10
Business Address
KELVIN BANEGAS LMSW
99 WALL ST STE 1982
NEW YORK, NY 10005-4301
Phone number: 631-624-7449
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Mailing Address
KELVIN BANEGAS LMSW
19 PRAIRIE LN
BAYVILLE, NJ 08721-2249
Phone number: 516-469-2135
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