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1407368004
MARY VANDEZANDE
KINGSTON, NY
NPI
1407368004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-11-04
Last Update Date
2017-11-04
Business Address
MARY VANDEZANDE LCSW
77 CORNELL ST
KINGSTON, NY 12401-3648
Phone number: 719-290-8022
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Mailing Address
MARY VANDEZANDE LCSW
33 HONE ST
KINGSTON, NY 12401-6314
Phone number: 719-290-8022
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