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1750921409
KEVIN ADAM MCDONOUGH
HARRISON, NY
NPI
1750921409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 35915)
Enumeration Date
2020-01-10
Last Update Date
2020-01-10
Business Address
KEVIN ADAM MCDONOUGH CASAC-T
275 NORTH ST
HARRISON, NY 10528-1140
Phone number: 914-925-5239
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Mailing Address
KEVIN ADAM MCDONOUGH CASAC-T
275 NORTH ST
HARRISON, NY 10528-1140
Phone number: 914-925-5239
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