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1437511029
KERRI GEOGHEGAN
COMMACK, NY
NPI
1437511029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 30983)
Enumeration Date
2016-03-23
Last Update Date
2016-03-23
Business Address
-- KERRI GEOGHEGAN
155 INDIAN HEAD RD
COMMACK, NY 11725-2212
Phone number: 631-543-6200
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Mailing Address
-- KERRI GEOGHEGAN
812 S BROADWAY
LINDENHURST, NY 11757-5606
Phone number: 631-747-8976
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