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1831203025
KATHRYN A DEBRUIN
CANANDAIGUA, NY
NPI
1831203025
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Former Name
KATHRYN PENDERGAST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 045121)
Enumeration Date
2006-08-18
Last Update Date
2007-07-09
Business Address
-- KATHRYN A DEBRUIN LCSW-R
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424-9505
Phone number: 585-396-4363
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Mailing Address
-- KATHRYN A DEBRUIN LCSW-R
132 E MAIN ST
VICTOR, NY 14564-1304
Phone number: 585-742-3804
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