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1699942599
KEITH TIMMERMANN FADELICI
POUGHKEEPSIE, NY
NPI
1699942599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R055720)
Enumeration Date
2008-05-11
Last Update Date
2008-05-11
Business Address
Mr. KEITH TIMMERMANN FADELICI L.C.S.W.
202 HOOKER AVE
POUGHKEEPSIE, NY 12603-3329
Phone number: 845-206-8175
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Mailing Address
Mr. KEITH TIMMERMANN FADELICI L.C.S.W.
202 HOOKER AVE
POUGHKEEPSIE, NY 12603-3329
Phone number: 845-206-8175
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