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Organization
THERAPIST WITHOUT BORDERS
Active
Organization
THERAPIST WITHOUT BORDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY-ANN FAIRWEATHER LCSW (OWNER)
(347) 512-3636
Entity
Organization
Contact information
Practice address
210 E MAIN ST STE 304, MIDDLETOWN, NY 10940-4038
(845) 566-0286
Mailing address
27 LENOX PL, MIDDLETOWN, NY 10940-5526
(347) 512-3636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
083105
NY
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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