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1861977449
KASSIDY SANDY-BOURNE
MELVILLE, NY
NPI
1861977449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2018-09-28
Last Update Date
2021-07-09
Business Address
KASSIDY SANDY-BOURNE
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
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Mailing Address
KASSIDY SANDY-BOURNE
225 BROADHOLLOW RD STE 205
MELVILLE, NY 11747-4822
Phone number: 631-385-7780
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