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1871776690
MARY A HINES
PORT JEFFERSON STATION, NY
NPI
1871776690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 071536)
Enumeration Date
2007-12-14
Last Update Date
2007-12-14
Business Address
MRS. MARY A HINES LCSW
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776-1214
Phone number: 631-942-1939
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Mailing Address
MRS. MARY A HINES LCSW
5 GEORGE CT
MILLER PLACE, NY 11764-1316
Phone number: 631-942-1939
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