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Individual
KAITLYN COON
Active
Individual
KAITLYN COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
098175
NY
1041C0700X
Clinical Social Worker
Primary
098175
NY
Other
Enumeration date
09/13/2016
Last updated
12/18/2023
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