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1578862728
KENNETH J ROCHE
EAST ISLIP, NY
NPI
1578862728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 004685-1)
Enumeration Date
2011-03-26
Last Update Date
2021-02-23
Business Address
Mr. KENNETH J ROCHE LMHC
200 CARLETON AVE STE D
EAST ISLIP, NY 11730-1222
Phone number: 631-579-3503
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Mailing Address
Mr. KENNETH J ROCHE LMHC
74 BEAVER DAM RD
ISLIP, NY 11751-1935
Phone number: 631-235-4481
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