Individual
CAROLINE MARIE KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 WAGNER DR, PAWLING, NY 12564-1730
(845) 516-7248
Mailing address
30 WAGNER DR, PAWLING, NY 12564-1730
(845) 516-7248
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376201525
—
NY
Enumeration date
12/06/2021
Last updated
04/22/2022
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