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1629845672
KATHLEEN ANN POTOCNIK MEDINA
NEW YORK, NY
NPI
1629845672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 096567)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
KATHLEEN ANN POTOCNIK MEDINA LCSW
16 MADISON SQ W FL 12
NEW YORK, NY 10010-1629
Phone number: 917-562-2921
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Mailing Address
KATHLEEN ANN POTOCNIK MEDINA LCSW
16 MADISON SQ W FL 12
NEW YORK, NY 10010-1629
Phone number: 917-310-0512
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