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1306154257
MARY JENNESS RAINE
STAMFORD, CT
NPI
1306154257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY R014323-1)
Enumeration Date
2010-09-14
Last Update Date
2013-07-01
Business Address
DR. MARY JENNESS RAINE PH.D.
214 SEASIDE AVE # 2
STAMFORD, CT 06902-5442
Phone number: 914-393-4870
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Mailing Address
DR. MARY JENNESS RAINE PH.D.
214 SEASIDE AVE # 2
STAMFORD, CT 06902-5442
Phone number: 914-393-4870
Copy
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