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1811168503
KIM M WISNIEWSKI
HAWTHORNE, NY
NPI
1811168503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2008-03-20
Last Update Date
2008-03-20
Business Address
Ms. KIM M WISNIEWSKI ATR-BC
228 LINDA AVE
HAWTHORNE, NY 10532-2050
Phone number: 914-773-7428
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Mailing Address
Ms. KIM M WISNIEWSKI ATR-BC
228 LINDA AVE
HAWTHORNE, NY 10532-2050
Phone number: 914-773-7428
Copy
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