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1790335826
MARA T KINNEY
SYRACUSE, NY
NPI
1790335826
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Former Name
MARA BRYDEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: NY 1696366)
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
MARA T KINNEY MS
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-425-1004
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Mailing Address
MARA T KINNEY MS
1045 JAMES ST
SYRACUSE, NY 13203-2730
Phone number: 315-425-1004
Copy
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