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1669219879
IRFRED ERIC KAINE
PHILADELPHIA, PA
NPI
1669219879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
IRFRED ERIC KAINE
8729 COTTAGE ST
PHILADELPHIA, PA 19136-2123
Phone number: 612-423-0950
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Mailing Address
IRFRED ERIC KAINE
8729 COTTAGE ST
PHILADELPHIA, PA 19136-2123
Phone number: 612-423-0950
Copy
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