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Individual
KATHLEEN ANN GARNEAU
Active
Individual
KATHLEEN ANN GARNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RN
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
083801-1
NY
1041C0700X
Clinical Social Worker
Primary
083843
NY
163W00000X
Registered Nurse
359720
NY
Other
Enumeration date
07/17/2011
Last updated
10/04/2019
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