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1568889293
RAFAEL PEREZ
KINGSTON, NY
NPI
1568889293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 080213)
Enumeration Date
2014-03-19
Last Update Date
2014-03-19
Business Address
-- RAFAEL PEREZ LCSWR
304 WALL ST
KINGSTON, NY 12401-3850
Phone number: 845-596-2764
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Mailing Address
-- RAFAEL PEREZ LCSWR
6 KRISNAN PL
NEW PALTZ, NY 12561-4312
Phone number: 845-596-2764
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