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1568959823
KAITLYN TRECCAGNOLI
PORT JEFFERSON, NY
NPI
1568959823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 101698)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2018-04-21
Last Update Date
2024-01-23
Business Address
KAITLYN TRECCAGNOLI
710 MAIN ST
PORT JEFFERSON, NY 11777-2278
Phone number: 631-716-5881
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Mailing Address
KAITLYN TRECCAGNOLI
2257 5TH AVE
RONKONKOMA, NY 11779-6255
Phone number: 631-848-9613
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