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Individual

ANTONET MAULET DAWES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 656-9950
Mailing address
72 LENA AVE, FREEPORT, NY 11520-2142
(516) 710-6488

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112045-01
NY

Other

Enumeration date
03/04/2021
Last updated
03/04/2021
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