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1831722297
CHRISTINE KAREN HAVEKOST
DEER PARK, NY
NPI
1831722297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 071376)
Enumeration Date
2020-02-13
Last Update Date
2020-02-13
Business Address
CHRISTINE KAREN HAVEKOST
330 W 15TH ST
DEER PARK, NY 11729-6304
Phone number: 631-243-4567
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Mailing Address
CHRISTINE KAREN HAVEKOST
330 W 15TH ST
DEER PARK, NY 11729-6304
Phone number:
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