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1477158814
LESLEY A KIRCH
WATERTOWN, NY
NPI
1477158814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 104342-1)
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
LESLEY A KIRCH
595 W MAIN ST
WATERTOWN, NY 13601-1381
Phone number: 315-788-1530
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Mailing Address
LESLEY A KIRCH
94205A HOLDENBURY DR
FORT DRUM, NY 13603-3268
Phone number: 419-605-7452
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