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1770894511
KEVIN MICHAEL LYCKE
HUNTINGTON STATION, NY
NPI
1770894511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY PR065283-1)
Enumeration Date
2010-06-26
Last Update Date
2015-12-14
Business Address
Mr. KEVIN MICHAEL LYCKE MSW/LCSW
33 WALT WHITMAN RD SUITE 106
HUNTINGTON STATION, NY 11746-3640
Phone number: 631-334-0234
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Mailing Address
Mr. KEVIN MICHAEL LYCKE MSW/LCSW
38 RICHMOND BLVD. 4A
RONKONKOMA, NY 11779-3615
Phone number: 631-334-0234
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