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1346062270
JORDAN ALEXIS MCKERNAN
RIVERHEAD, NY
NPI
1346062270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 125445)
Enumeration Date
2024-10-30
Last Update Date
2024-10-30
Business Address
Mr. JORDAN ALEXIS MCKERNAN LMSW
400 W MAIN ST
RIVERHEAD, NY 11901-2813
Phone number: 631-369-0104
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Mailing Address
Mr. JORDAN ALEXIS MCKERNAN LMSW
17 TAMMY DR
MOUNT SINAI, NY 11766-2234
Phone number: 631-346-8470
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