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1427144880
KEVIN R PENBERTHY
BUFFALO, NY
NPI
1427144880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R39032-1)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
-- KEVIN R PENBERTHY
7 COMMUNITY DR
BUFFALO, NY 14225-2523
Phone number: 716-505-5630
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Mailing Address
-- KEVIN R PENBERTHY
297 CURTIS PKWY
BUFFALO, NY 14223-1833
Phone number: 716-835-0596
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