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1275829442
KELLY-ANN MONIQUE FAIRWEATHER
MIDDLETOWN, NY
NPI
1275829442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SL05672000)
Enumeration Date
2011-06-25
Last Update Date
2018-01-17
Business Address
Ms. KELLY-ANN MONIQUE FAIRWEATHER LMSW
210 E MAIN ST STE 105
MIDDLETOWN, NY 10940-4038
Phone number: 845-566-0286
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Mailing Address
Ms. KELLY-ANN MONIQUE FAIRWEATHER LMSW
27 LENOX PL
MIDDLETOWN, NY 10940-5526
Phone number: 347-512-3636
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