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1942738711
MICHAEL KUNHAVIJIT
FORT DRUM, NY
NPI
1942738711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P009608)
Enumeration Date
2017-05-24
Last Update Date
2017-05-24
Business Address
MICHAEL KUNHAVIJIT LCSW
11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602
Phone number: 315-772-5296
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Mailing Address
MICHAEL KUNHAVIJIT LCSW
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number:
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