Individual
MR. BRENDAN TYRONE KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
202 FLATBUSH AVE # 206, BROOKLYN, NY 11217-2177
(718) 398-0800
Mailing address
202 FLATBUSH AVE # 206, BROOKLYN, NY 11217-2177
(718) 398-0800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05611600
NJ
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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