Individual
AVNEET KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MAIN ST, PORT JEFFERSON, NY 11777-2250
(631) 296-1113
Mailing address
1948 MAPMAKER DR, DACULA, GA 30019-7872
(631) 245-1597
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001973
NY
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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